Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $58.88 / $72.44	Facility		$30.90	$58.88	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $30.90	Professional		$19.05	$21.88	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $70.79 / $72.44	Facility		$57.54	$70.79	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $107.15	Professional		$13.18	$13.18	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $134.90	Facility		$72.44	$85.11	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $83.18	Professional		$30.90	$38.02	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $57.54 / $213.80	Facility		$23.44	$57.54	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.12 / $128.82	Facility		$20.89	$25.12	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $60.26	Professional		$15.49	$21.88	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $85.11	Professional		$26.30	$52.48	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $67.61 / $134.90	Professional		$34.67	$67.61	$134.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $128.82	Facility		$53.70	$53.70	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $25.70	Professional		$14.13	$17.38	$25.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $56.23	Professional		$27.54	$27.54	$56.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $144.54	Professional		$27.54	$27.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.44 / $31.62	Facility		$19.95	$23.44	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $21.88 / $66.07	Professional		$11.22	$21.88	$66.07