Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $234.42 / $331.13	Facility		$46.77	$234.42	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $134.90	Professional		$20.89	$26.92	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $81.28	Facility		$63.10	$79.43	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $117.49	Professional		$16.60	$16.60	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $83.18 / $83.18	Facility		$20.42	$83.18	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $151.36	Facility		$81.28	$95.50	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $93.33	Professional		$34.67	$42.66	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $64.57 / $234.42	Facility		$26.30	$64.57	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $131.83 / $295.12	Facility		$27.54	$131.83	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $29.51 / $87.10	Professional		$17.38	$29.51	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $85.11	Professional		$14.79	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $69.18 / $104.71	Professional		$38.02	$69.18	$104.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $141.25	Facility		$58.88	$58.88	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $28.84	Professional		$15.85	$19.50	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $63.10	Professional		$61.66	$61.66	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $173.78	Professional		$61.66	$61.66	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $35.48	Facility		$22.39	$26.30	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $81.28	Professional		$14.79	$23.99	$81.28