Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $112.20 / $138.04	Facility		$60.26	$112.20	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $60.26	Professional		$37.15	$43.65	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $138.04	Facility		$109.65	$134.90	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $204.17	Professional		$25.12	$25.12	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $162.18 / $257.04	Facility		$138.04	$162.18	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $72.44 / $158.49	Professional		$57.54	$72.44	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $407.38	Facility		$34.67	$109.65	$407.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $45.71 / $239.88	Facility		$34.67	$45.71	$239.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $41.69 / $114.82	Professional		$29.51	$41.69	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $104.71	Professional		$33.11	$64.57	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $128.82 / $181.97	Professional		$64.57	$128.82	$181.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $239.88	Facility		$100.00	$100.00	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $57.54	Professional		$26.92	$30.20	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $107.15	Professional		$52.48	$52.48	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $199.53 / $309.03	Professional		$52.48	$199.53	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $60.26	Facility		$38.02	$44.67	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $125.89	Professional		$25.12	$41.69	$125.89