Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $5,370.32 / $13,803.84	Facility		$48.98	$5,370.32	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $9,772.37	Professional		$46.77	$66.07	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $104.71	Facility		$58.88	$58.88	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $60.26	Professional		$46.77	$46.77	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $67.61	Facility		$63.10	$63.10	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $138.04	Facility		$45.71	$53.70	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $87.10	Professional		$46.77	$60.26	$87.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $50.12	Facility		$38.90	$45.71	$50.12
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $91.20 / $91.20	Professional		$22.39	$91.20	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $50.12 / $245.47	Facility		$47.86	$50.12	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $53.70 / $91.20	Professional		$47.86	$53.70	$91.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $48.98 / $134.90	Professional		$46.77	$48.98	$134.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $229.09	Facility		$46.77	$46.77	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $81.28	Professional		$66.07	$66.07	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Facility		$44.67	$44.67	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $70.79	Professional		$46.77	$52.48	$70.79