Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $831.76 / $1,202.26	Facility		$213.80	$831.76	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $776.25	Professional		$102.33	$128.82	$776.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $257.04	Professional		$75.86	$75.86	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $199.53	Facility		$114.82	$154.88	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $389.05 / $630.96	Facility		$114.82	$389.05	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $186.21 / $251.19	Professional		$114.82	$186.21	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $123.03 / $275.42	Facility		$102.33	$123.03	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $323.59	Professional		$141.25	$302.00	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $288.40 / $660.69	Facility		$102.33	$288.40	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $741.31	Professional		$446.68	$446.68	$741.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $114.82	Professional		$33.11	$64.57	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $316.23 / $436.52	Professional		$147.91	$316.23	$436.52
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $741.31	Facility		$114.82	$114.82	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $741.31	Professional		$114.82	$173.78	$741.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $501.19	Professional		$151.36	$269.15	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $616.60	Professional		$446.68	$446.68	$616.60