Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $64.57 / $79.43	Facility		$33.88	$64.57	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $33.88	Professional		$20.89	$23.99	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $77.62 / $79.43	Facility		$61.66	$77.62	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $114.82	Professional		$14.13	$14.13	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $147.91	Facility		$79.43	$93.33	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $41.69 / $89.13	Professional		$33.11	$41.69	$89.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $63.10 / $229.09	Facility		$25.70	$63.10	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $26.92 / $177.83	Facility		$22.91	$26.92	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.99 / $66.07	Professional		$17.38	$23.99	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $102.33	Professional		$28.84	$56.23	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $74.13 / $100.00	Professional		$37.15	$74.13	$100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $177.83	Facility		$57.54	$57.54	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $28.18	Professional		$15.14	$19.05	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $128.82	Professional		$61.66	$61.66	$128.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $177.83	Professional		$97.72	$128.82	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $34.67	Facility		$21.88	$25.70	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.44 / $70.79	Professional		$14.45	$23.44	$70.79