Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $141.25 / $141.25	Facility		$41.69	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $181.97	Professional		$17.38	$20.42	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $169.82	Facility		$91.20	$123.03	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $162.18	Professional		$58.88	$74.13	$162.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $208.93 / $302.00	Facility		$42.66	$208.93	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $245.47	Facility		$41.69	$42.66	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $72.44	Professional		$22.39	$30.90	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $141.25	Professional		$25.70	$54.95	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $117.49 / $169.82	Professional		$66.07	$117.49	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $245.47	Facility		$102.33	$102.33	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $109.65	Professional		$41.69	$41.69	$109.65
Security Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $281.84	Professional		$41.69	$41.69	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $61.66	Facility		$33.88	$33.88	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $85.11	Professional		$21.38	$30.90	$85.11