Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $288.40	Professional		$70.79	$70.79	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $43.65 / $169.82	Professional		$28.18	$43.65	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $56.23	Facility		$48.98	$48.98	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $51.29	Professional		$50.12	$50.12	$51.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $104.71	Facility		$70.79	$70.79	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $104.71	Facility		$70.79	$70.79	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $162.18	Professional		$54.95	$114.82	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $257.04 / $257.04	Facility		$91.20	$257.04	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $257.04	Professional		$199.53	$257.04	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $154.88 / $173.78	Professional		$141.25	$154.88	$173.78