Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $181.97 / $501.19	Facility		$48.98	$181.97	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.90 / $128.82	Professional		$17.38	$30.90	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $89.13	Facility		$70.79	$87.10	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $131.83	Professional		$16.22	$16.22	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $169.82	Facility		$89.13	$104.71	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $102.33	Professional		$37.15	$48.98	$102.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $70.79 / $263.03	Facility		$27.54	$70.79	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.20 / $223.87	Facility		$25.70	$30.20	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $74.13	Professional		$19.05	$26.92	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $85.11	Professional		$32.36	$48.98	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $154.88	Professional		$41.69	$83.18	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $223.87	Facility		$64.57	$64.57	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $52.48	Professional		$17.38	$33.88	$52.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $69.18	Professional		$42.66	$42.66	$69.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $95.50 / $181.97	Professional		$42.66	$95.50	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.84 / $38.90	Facility		$24.55	$28.84	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $81.28	Professional		$16.22	$26.92	$81.28