Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $117.49 / $288.40	Facility		$60.26	$117.49	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $60.26 / $154.88	Professional		$40.74	$60.26	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $141.25	Professional		$53.70	$77.62	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $58.88 / $83.18	Facility		$45.71	$58.88	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $131.83	Professional		$58.88	$79.43	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $194.98 / $309.03	Facility		$147.91	$194.98	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $181.97	Professional		$50.12	$95.50	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $58.88 / $109.65	Facility		$41.69	$58.88	$109.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $165.96	Professional		$87.10	$120.23	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $58.88 / $117.49	Facility		$40.74	$58.88	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $114.82 / $398.11	Professional		$61.66	$114.82	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $120.23	Professional		$19.05	$33.11	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $186.21	Professional		$67.61	$117.49	$186.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $309.03	Facility		$89.13	$89.13	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $102.33 / $398.11	Professional		$50.12	$102.33	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $107.15	Professional		$81.28	$81.28	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $186.21	Professional		$77.62	$123.03	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $74.13 / $131.83	Professional		$50.12	$74.13	$131.83