Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $107.15 / $302.00	Professional		$89.13	$107.15	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $177.83 / $389.05	Professional		$93.33	$177.83	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $128.82 / $288.40	Facility		$93.33	$128.82	$288.40
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $117.49	Professional		$70.79	$70.79	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $112.20 / $234.42	Facility		$93.33	$112.20	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $724.44 / $724.44	Professional		$70.79	$724.44	$724.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $54.95 / $70.79	Professional		$10.96	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $407.38	Professional		$158.49	$288.40	$407.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,715.35	Facility		$2,511.89	$2,511.89	$3,715.35
Quartz Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $724.44	Professional		$501.19	$724.44	$724.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $933.25	Professional		$177.83	$223.87	$933.25