Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $74.13 / $74.13	Facility		$32.36	$74.13	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $32.36	Professional		$18.20	$21.88	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $74.13	Facility		$58.88	$72.44	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $93.33	Professional		$28.18	$45.71	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $138.04	Facility		$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $85.11	Professional		$31.62	$38.90	$85.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $93.33 / $158.49	Facility		$19.05	$93.33	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $25.70 / $128.82	Facility		$14.45	$25.70	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $48.98	Professional		$13.49	$16.22	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $89.13	Professional		$34.67	$61.66	$89.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $128.82	Facility		$53.70	$53.70	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $147.91 / $204.17	Professional		$79.43	$147.91	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $32.36	Facility		$21.88	$21.88	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $52.48	Professional		$11.48	$16.22	$52.48