Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $316.23 / $316.23	Facility		$138.04	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $138.04	Professional		$79.43	$93.33	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $309.03 / $316.23	Facility		$245.47	$309.03	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $398.11	Professional		$38.90	$45.71	$398.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $371.54 / $588.84	Facility		$316.23	$371.54	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $354.81	Professional		$131.83	$165.96	$354.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $229.09 / $676.08	Facility		$69.18	$229.09	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $229.09	Facility		$69.18	$107.15	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $204.17	Professional		$57.54	$69.18	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $97.72	Professional		$54.95	$64.57	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $380.19	Professional		$147.91	$263.03	$380.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $549.54	Facility		$229.09	$229.09	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $794.33	Professional		$331.13	$630.96	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $138.04	Facility		$69.18	$91.20	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $223.87	Professional		$47.86	$69.18	$223.87