Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $549.54 / $1,047.13	Facility		$190.55	$549.54	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $338.84	Professional		$39.81	$85.11	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $60.26	Professional		$39.81	$39.81	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $57.54 / $100.00	Facility		$40.74	$57.54	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $42.66 / $54.95	Professional		$40.74	$42.66	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $61.66 / $147.91	Facility		$39.81	$61.66	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $128.82	Professional		$39.81	$51.29	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $41.69 / $81.28	Facility		$40.74	$41.69	$81.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $123.03	Professional		$43.65	$45.71	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $85.11 / $316.23	Facility		$40.74	$85.11	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $1,621.81	Professional		$40.74	$40.74	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $70.79	Professional		$33.11	$40.74	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $141.25	Professional		$39.81	$60.26	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $162.18 / $194.98	Facility		$39.81	$162.18	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $162.18 / $1,621.81	Professional		$39.81	$162.18	$1,621.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $72.44	Professional		$51.29	$57.54	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $56.23	Professional		$39.81	$39.81	$56.23