Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $67.61 / $83.18	Facility		$34.67	$67.61	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $23.99 / $34.67	Professional		$3.02	$23.99	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $81.28 / $83.18	Facility		$64.57	$81.28	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $89.13	Professional		$12.02	$12.02	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $154.88	Facility		$83.18	$97.72	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $104.71	Professional		$34.67	$43.65	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $17.38 / $36.31	Facility		$2.29	$17.38	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $26.92 / $141.25	Facility		$2.29	$26.92	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $17.78 / $46.77	Professional		$3.47	$17.78	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $32.36 / $83.18	Professional		$5.01	$32.36	$83.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $70.79 / $97.72	Professional		$24.55	$70.79	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $141.25	Facility		$60.26	$141.25	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.70 / $2.63	Professional		$1.62	$1.70	$2.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $64.57	Professional		$2.63	$2.63	$64.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $162.18	Professional		$2.63	$2.63	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.99 / $36.31	Facility		$15.14	$23.99	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $23.99 / $53.70	Professional		$3.55	$23.99	$53.70