Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $229.09 / $602.56	Facility		$45.71	$229.09	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $45.71	Professional		$25.12	$30.90	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $104.71 / $107.15	Facility		$83.18	$104.71	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $134.90	Professional		$15.49	$15.49	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $199.53	Facility		$107.15	$123.03	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $54.95 / $120.23	Professional		$44.67	$54.95	$120.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $131.83 / $223.87	Facility		$20.42	$131.83	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $34.67 / $181.97	Facility		$20.42	$34.67	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $72.44	Professional		$19.50	$22.91	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.11 / $85.11	Professional		$30.90	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $125.89	Professional		$48.98	$91.20	$125.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $181.97	Facility		$77.62	$77.62	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $81.28	Professional		$38.90	$38.90	$81.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $112.20 / $213.80	Professional		$38.90	$112.20	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $46.77	Facility		$30.90	$30.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $74.13	Professional		$16.22	$22.91	$74.13