Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $85.11 / $457.09	Facility		$28.18	$85.11	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.13 / $34.67	Professional		$12.30	$14.13	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50.12 / $51.29	Facility		$39.81	$50.12	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $69.18	Professional		$7.41	$7.41	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $46.77 / $47.86	Facility		$12.02	$46.77	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $95.50	Facility		$51.29	$60.26	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $57.54	Professional		$21.38	$26.92	$57.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $37.15 / $109.65	Facility		$12.30	$37.15	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.62 / $173.78	Facility		$12.30	$18.62	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $48.98	Professional		$9.33	$11.22	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.11 / $64.57	Professional		$18.62	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $47.86 / $165.96	Professional		$23.99	$47.86	$165.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $104.71	Facility		$37.15	$37.15	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.12 / $13.18	Professional		$8.91	$9.12	$13.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $102.33	Professional		$50.12	$50.12	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $22.39	Facility		$14.79	$14.79	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $36.31	Professional		$7.76	$11.22	$36.31