Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $56.23 / $70.79	Facility		$30.20	$56.23	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $100.00	Professional		$19.05	$22.91	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $70.79	Facility		$54.95	$69.18	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $102.33	Professional		$12.59	$12.59	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $131.83	Facility		$70.79	$81.28	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $79.43	Professional		$29.51	$36.31	$79.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $56.23 / $204.17	Facility		$22.91	$56.23	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.99 / $120.23	Facility		$19.95	$23.99	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $57.54	Professional		$15.14	$20.89	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.12 / $85.11	Professional		$25.70	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $109.65	Professional		$32.36	$64.57	$109.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $120.23	Facility		$51.29	$51.29	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $24.55	Professional		$13.49	$16.98	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $53.70	Professional		$41.69	$41.69	$53.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $102.33 / $158.49	Professional		$41.69	$102.33	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.91 / $30.90	Facility		$19.05	$22.91	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.89 / $63.10	Professional		$12.88	$20.89	$63.10