Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $251.19	Professional		$138.04	$190.55	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $870.96	Professional		$263.03	$416.87	$870.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $288.40 / $436.52	Facility		$234.42	$288.40	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $549.54	Professional		$323.59	$323.59	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $194.98 / $457.09	Facility		$151.36	$194.98	$457.09
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $288.40	Professional		$275.42	$275.42	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $549.54	Facility		$151.36	$213.80	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $1,412.54	Professional		$144.54	$144.54	$1,412.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $489.78 / $912.01	Professional		$302.00	$489.78	$912.01
Quartz Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,513.56	Facility		$512.86	$512.86	$1,513.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,148.15 / $1,412.54	Professional		$162.18	$1,148.15	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $239.88	Professional		$107.15	$144.54	$239.88