Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $870.96 / $954.99	Facility		$138.04	$870.96	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $154.88 / $251.19	Professional		$93.33	$154.88	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $199.53 / $549.54	Professional		$120.23	$199.53	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $69.18 / $151.36	Facility		$46.77	$69.18	$151.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $66.07 / $114.82	Professional		$45.71	$66.07	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $537.03 / $870.96	Facility		$467.74	$537.03	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $354.81 / $446.68	Professional		$79.43	$354.81	$446.68
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $181.97 / $245.47	Facility		$100.00	$181.97	$245.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $181.97 / $288.40	Facility		$102.33	$181.97	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $912.01	Professional		$177.83	$354.81	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $70.79	Professional		$33.11	$46.77	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $316.23	Professional		$123.03	$213.80	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $741.31	Facility		$181.97	$181.97	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $912.01 / $912.01	Professional		$79.43	$912.01	$912.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Security Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $426.58 / $467.74	Facility		$338.84	$426.58	$467.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $478.63 / $676.08	Professional		$154.88	$478.63	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $758.58	Facility		$575.44	$575.44	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $295.12 / $707.95	Professional		$154.88	$295.12	$707.95