Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $70.79	Facility		$30.20	$57.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $20.89 / $30.20	Professional		$19.05	$20.89	$30.20
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 $12.30 / $12.30 / $100.00	Professional		$12.30	$12.30	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
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 $22.39 / $54.95 / $199.53	Facility		$22.39	$54.95	$199.53
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 $14.79 / $20.42 / $56.23	Professional		$14.79	$20.42	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $48.98 / $85.11	Professional		$12.88	$48.98	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $165.96	Professional		$32.36	$64.57	$165.96
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 / $16.60 / $24.55	Professional		$13.49	$16.60	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $54.95	Professional		$25.70	$25.70	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $138.04	Professional		$25.70	$25.70	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.39 / $30.90	Facility		$19.05	$22.39	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $61.66	Professional		$12.02	$20.42	$61.66