Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $707.95 / $1,148.15	Facility		$371.54	$707.95	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $107.15 / $794.33	Professional		$81.28	$107.15	$794.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $338.84	Professional		$85.11	$87.10	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $177.83	Facility		$100.00	$134.90	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $346.74 / $575.44	Facility		$87.10	$346.74	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $158.49 / $218.78	Professional		$87.10	$158.49	$218.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $102.33 / $251.19	Facility		$81.28	$102.33	$251.19
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $380.19 / $398.11	Professional		$128.82	$380.19	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $524.81	Facility		$81.28	$114.82	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $724.44	Professional		$85.11	$85.11	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $138.04	Professional		$33.11	$64.57	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $275.42 / $389.05	Professional		$128.82	$275.42	$389.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $724.44	Facility		$87.10	$87.10	$724.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $724.44	Professional		$87.10	$109.65	$724.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $204.17 / $251.19	Professional		$134.90	$204.17	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $117.49	Professional		$85.11	$85.11	$117.49