Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $323.59 / $323.59	Facility		$138.04	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $125.89	Professional		$72.44	$114.82	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $165.96	Professional		$134.90	$134.90	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $309.03	Facility		$141.25	$141.25	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $616.60	Facility		$380.19	$446.68	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $208.93 / $275.42	Professional		$58.88	$208.93	$275.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $125.89 / $151.36	Facility		$117.49	$125.89	$151.36
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $707.95	Professional		$128.82	$173.78	$707.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $223.87	Facility		$117.49	$141.25	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $131.83	Professional		$47.86	$67.61	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $218.78 / $380.19	Professional		$138.04	$218.78	$380.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $676.08	Facility		$354.81	$354.81	$676.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $218.78 / $870.96	Professional		$58.88	$218.78	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $112.20	Professional		$47.86	$67.61	$112.20