Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $144.54 / $144.54	Facility		$63.10	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $63.10	Professional		$36.31	$42.66	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $186.21	Professional		$5.01	$5.01	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $269.15	Facility		$144.54	$169.82	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $75.86 / $165.96	Professional		$60.26	$75.86	$165.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $181.97 / $309.03	Facility		$27.54	$181.97	$309.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $50.12 / $251.19	Facility		$27.54	$50.12	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $95.50	Professional		$26.30	$31.62	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $173.78	Professional		$67.61	$123.03	$173.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $251.19	Facility		$104.71	$104.71	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $63.10	Facility		$42.66	$42.66	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $102.33	Professional		$22.39	$31.62	$102.33