Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $177.83 / $177.83	Facility		$77.62	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $77.62	Professional		$44.67	$52.48	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $229.09	Professional		$12.02	$12.02	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $331.13	Facility		$177.83	$208.93	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $199.53	Professional		$74.13	$95.50	$199.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $223.87 / $380.19	Facility		$33.11	$223.87	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $60.26 / $309.03	Facility		$33.11	$60.26	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.90 / $114.82	Professional		$32.36	$38.90	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $97.72	Professional		$85.11	$85.11	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $147.91 / $213.80	Professional		$83.18	$147.91	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $309.03	Facility		$128.82	$128.82	$309.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $77.62	Facility		$51.29	$51.29	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $125.89	Professional		$26.92	$38.90	$125.89