Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $389.05 / $851.14	Facility		$229.09	$389.05	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $165.96	Professional		$85.11	$109.65	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $416.87 / $426.58	Facility		$338.84	$416.87	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $549.54	Professional		$45.71	$45.71	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $389.05 / $398.11	Facility		$79.43	$389.05	$398.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $501.19 / $794.33	Facility		$426.58	$501.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $204.17 / $489.78	Professional		$83.18	$204.17	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $338.84 / $724.44	Facility		$81.28	$338.84	$724.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $186.21 / $741.31	Facility		$81.28	$186.21	$741.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $257.04	Professional		$67.61	$93.33	$257.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $85.11 / $436.52	Professional		$32.36	$85.11	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $371.54 / $512.86	Professional		$177.83	$371.54	$512.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $741.31	Facility		$316.23	$316.23	$741.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $83.18	Professional		$58.88	$58.88	$83.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $331.13	Professional		$120.23	$120.23	$331.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $851.14 / $1,047.13	Professional		$457.09	$851.14	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $125.89 / $186.21	Facility		$89.13	$125.89	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $281.84	Professional		$66.07	$93.33	$281.84