Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $104.71 / $229.09	Facility		$56.23	$104.71	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $371.54	Professional		$87.10	$173.78	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $275.42	Professional		$102.33	$151.36	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $165.96	Facility		$89.13	$117.49	$165.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $263.03	Professional		$117.49	$158.49	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $389.05 / $616.60	Facility		$295.12	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $354.81	Professional		$93.33	$181.97	$354.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $213.80	Facility		$75.86	$112.20	$213.80
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $331.13	Professional		$169.82	$234.42	$331.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $112.20 / $229.09	Facility		$75.86	$112.20	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $281.84 / $776.25	Professional		$125.89	$281.84	$776.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $70.79 / $100.00	Professional		$32.36	$70.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $371.54	Professional		$128.82	$223.87	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $588.84	Facility		$173.78	$173.78	$588.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $204.17 / $776.25	Professional		$91.20	$204.17	$776.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $208.93	Professional		$158.49	$158.49	$208.93
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $363.08	Professional		$162.18	$251.19	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $251.19	Professional		$91.20	$138.04	$251.19