Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $60.26 / $74.13	Facility		$32.36	$60.26	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $32.36	Professional		$16.98	$21.88	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $74.13	Facility		$58.88	$72.44	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $95.50	Professional		$10.96	$10.96	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $138.04	Facility		$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $85.11	Professional		$31.62	$38.90	$85.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $53.70 / $144.54	Facility		$12.30	$53.70	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $24.55 / $128.82	Facility		$12.30	$24.55	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $48.98	Professional		$13.49	$16.22	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $40.74 / $85.11	Professional		$13.49	$40.74	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $89.13	Professional		$34.67	$63.10	$89.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $128.82	Facility		$53.70	$53.70	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.75	Professional		$11.22	$11.22	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $57.54	Professional		$18.62	$18.62	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $147.91 / $181.97	Professional		$18.62	$147.91	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.88 / $32.36	Facility		$13.49	$21.88	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $51.29	Professional		$11.48	$16.22	$51.29