Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $93.33 / $229.09	Facility		$40.74	$93.33	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $33.11	Professional		$18.20	$21.88	$33.11
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 $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
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 $14.45 / $93.33 / $158.49	Facility		$14.45	$93.33	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $24.55 / $169.82	Facility		$14.45	$24.55	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.22 / $50.12	Professional		$13.49	$16.22	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $85.11	Professional		$21.88	$33.11	$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 $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $57.54	Professional		$26.92	$26.92	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $147.91	Professional		$26.92	$26.92	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $32.36	Facility		$21.88	$21.88	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $52.48	Professional		$11.48	$16.22	$52.48