Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $22,908.68 / $63,095.73	Facility		$61.66	$22,908.68	$63,095.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $63.10 / $34,673.69	Professional		$58.88	$63.10	$34,673.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $131.83	Facility		$74.13	$74.13	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $81.28 / $112.20	Facility		$60.26	$81.28	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $66.07 / $141.25	Professional		$60.26	$66.07	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $141.25	Facility		$60.26	$77.62	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $123.03	Professional		$60.26	$63.10	$123.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $69.18	Facility		$60.26	$60.26	$69.18
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $141.25	Professional		$63.10	$120.23	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $85.11	Facility		$58.88	$58.88	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $2,454.71	Professional		$58.88	$64.57	$2,454.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $85.11	Professional		$58.88	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $181.97	Professional		$60.26	$93.33	$181.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $302.00	Facility		$60.26	$60.26	$302.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $2,454.71	Professional		$60.26	$91.20	$2,454.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $102.33	Professional		$54.95	$75.86	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $60.26	Facility		$58.88	$58.88	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $63.10 / $70.79	Professional		$60.26	$63.10	$70.79