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 $21.88 / $22.91 / $33.88	Professional		$21.88	$22.91	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $77.62 / $79.43	Facility		$63.10	$77.62	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $117.49	Professional		$12.30	$12.30	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
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 / $91.20	Professional		$33.11	$41.69	$91.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $57.54 / $199.53	Facility		$22.39	$57.54	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $138.04	Facility		$22.39	$26.30	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $56.23	Professional		$14.79	$20.89	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $43.65 / $85.11	Professional		$28.84	$43.65	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $74.13 / $263.03	Professional		$37.15	$74.13	$263.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $138.04	Facility		$57.54	$57.54	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.60 / $24.55	Professional		$15.49	$16.60	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $61.66	Professional		$25.70	$25.70	$61.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $85.11 / $162.18	Professional		$25.70	$85.11	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.44 / $34.67	Facility		$19.05	$23.44	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $61.66	Professional		$12.30	$20.89	$61.66