Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $223.87	Facility		$109.65	$213.80	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $323.59	Professional		$75.86	$144.54	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $251.19	Professional		$91.20	$138.04	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $104.71 / $144.54	Facility		$79.43	$104.71	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $239.88	Professional		$107.15	$144.54	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $562.34	Facility		$269.15	$354.81	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $316.23	Professional		$83.18	$165.96	$316.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $194.98	Facility		$64.57	$102.33	$194.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $302.00	Professional		$151.36	$213.80	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $208.93	Facility		$64.57	$104.71	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $234.42 / $724.44	Professional		$107.15	$234.42	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $87.10	Professional		$32.36	$58.88	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $338.84	Professional		$117.49	$208.93	$338.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $524.81	Facility		$154.88	$154.88	$524.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $186.21 / $724.44	Professional		$81.28	$186.21	$724.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $190.55	Professional		$141.25	$141.25	$190.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $229.09 / $338.84	Professional		$144.54	$229.09	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $229.09	Professional		$81.28	$125.89	$229.09