Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $87.10	Facility		$37.15	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $37.15	Professional		$20.89	$25.12	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $87.10	Facility		$67.61	$85.11	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $109.65	Professional		$6.61	$6.61	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $100.00 / $162.18	Facility		$87.10	$100.00	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $97.72	Professional		$36.31	$44.67	$97.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $107.15 / $181.97	Facility		$21.88	$107.15	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $29.51 / $147.91	Facility		$16.60	$29.51	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $56.23	Professional		$15.85	$18.62	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $85.11	Professional		$31.62	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $72.44 / $102.33	Professional		$40.74	$72.44	$102.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $147.91	Facility		$63.10	$63.10	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Professional		$16.60	$16.60	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $169.82 / $239.88	Professional		$91.20	$169.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $38.02	Facility		$25.12	$25.12	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $60.26	Professional		$13.18	$18.62	$60.26