Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $316.23 / $316.23	Facility		$102.33	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $72.44 / $102.33	Professional		$64.57	$72.44	$102.33
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 / $295.12	Professional		$38.90	$45.71	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $316.23 / $436.52	Facility		$234.42	$316.23	$436.52
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 $42.66 / $229.09 / $562.34	Facility		$42.66	$229.09	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $229.09	Facility		$42.66	$91.20	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $169.82	Professional		$51.29	$69.18	$169.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $85.11	Professional		$54.95	$57.54	$85.11
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 $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $645.65	Professional		$331.13	$467.74	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $75.86 / $138.04	Facility		$69.18	$75.86	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $169.82	Professional		$47.86	$69.18	$169.82