Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $213.80	Professional		$19.05	$19.05	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $70.79	Professional		$4.47	$4.47	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $58.88 / $60.26	Facility		$24.55	$58.88	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $64.57	Facility		$33.88	$39.81	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.42 / $74.13	Professional		$15.85	$20.42	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $43.65	Facility		$9.55	$9.55	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $125.89 / $363.08	Facility		$9.55	$125.89	$363.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $41.69	Professional		$7.94	$14.13	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $79.43	Professional		$30.90	$54.95	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $151.36	Facility		$50.12	$50.12	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.49 / $19.50	Facility		$12.02	$13.49	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.80 / $41.69	Professional		$8.51	$13.80	$41.69