Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $128.82 / $251.19	Facility		$74.13	$128.82	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $173.78 / $371.54	Professional		$89.13	$173.78	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $295.12	Professional		$107.15	$162.18	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $173.78	Facility		$93.33	$123.03	$173.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $281.84	Professional		$128.82	$169.82	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $660.69	Facility		$316.23	$416.87	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $363.08	Professional		$100.00	$194.98	$363.08
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $223.87	Facility		$81.28	$120.23	$223.87
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $354.81	Professional		$177.83	$251.19	$354.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $251.19	Facility		$79.43	$123.03	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $251.19 / $851.14	Professional		$125.89	$251.19	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $72.44 / $107.15	Professional		$32.36	$72.44	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $245.47 / $398.11	Professional		$138.04	$245.47	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $630.96	Facility		$181.97	$181.97	$630.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $213.80 / $851.14	Professional		$97.72	$213.80	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $223.87	Professional		$165.96	$165.96	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $398.11	Professional		$169.82	$257.04	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $269.15	Professional		$100.00	$151.36	$269.15