Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $125.89 / $204.17	Facility		$32.36	$125.89	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $57.54	Professional		$10.96	$12.88	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.90 / $39.81	Facility		$31.62	$38.90	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $58.88	Professional		$7.24	$7.24	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $74.13	Facility		$39.81	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $45.71	Professional		$16.98	$21.38	$45.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $31.62 / $117.49	Facility		$12.88	$31.62	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $75.86	Facility		$11.75	$14.13	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $33.11	Professional		$8.71	$12.02	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $32.36 / $64.57	Professional		$14.45	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $89.13	Professional		$19.05	$37.15	$89.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $75.86	Facility		$28.84	$28.84	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.55 / $14.13	Professional		$7.76	$9.55	$14.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $30.90	Professional		$20.42	$20.42	$30.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $66.07 / $89.13	Professional		$20.42	$66.07	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $17.38	Facility		$10.96	$12.88	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.02 / $36.31	Professional		$7.24	$12.02	$36.31