Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $331.13 / $331.13	Facility		$144.54	$331.13	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $144.54	Professional		$79.43	$97.72	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $323.59 / $331.13	Facility		$257.04	$323.59	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $478.63	Professional		$60.26	$60.26	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $616.60	Facility		$331.13	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $158.49 / $239.88	Professional		$64.57	$158.49	$239.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $257.04 / $954.99	Facility		$93.33	$257.04	$954.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $112.20 / $575.44	Facility		$64.57	$112.20	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $275.42	Professional		$70.79	$100.00	$275.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $85.11 / $426.58	Professional		$54.95	$85.11	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $398.11	Professional		$138.04	$281.84	$398.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $575.44	Facility		$239.88	$239.88	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $64.57	Professional		$63.10	$63.10	$64.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $257.04	Professional		$123.03	$123.03	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $478.63 / $741.31	Professional		$123.03	$478.63	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $107.15 / $107.15	Facility		$60.26	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $275.42	Professional		$60.26	$97.72	$275.42