Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $131.83 / $812.83	Facility		$57.54	$131.83	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $57.54	Professional		$34.67	$38.02	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $128.82 / $131.83	Facility		$102.33	$128.82	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $190.55	Professional		$23.44	$23.44	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $154.88 / $245.47	Facility		$131.83	$154.88	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $147.91	Professional		$54.95	$69.18	$147.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $104.71 / $380.19	Facility		$30.90	$104.71	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $42.66 / $229.09	Facility		$30.90	$42.66	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $34.67 / $93.33	Professional		$23.99	$34.67	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $47.86 / $85.11	Professional		$19.05	$47.86	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $165.96	Professional		$61.66	$112.20	$165.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $229.09	Facility		$95.50	$95.50	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $35.48	Professional		$25.12	$28.84	$35.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $102.33	Professional		$40.74	$40.74	$102.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $144.54 / $288.40	Professional		$40.74	$144.54	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $42.66 / $57.54	Facility		$36.31	$42.66	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $34.67 / $107.15	Professional		$19.95	$34.67	$107.15