Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $75.86 / $223.87	Facility		$33.11	$75.86	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $33.11	Professional		$21.38	$25.12	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $74.13 / $75.86	Facility		$60.26	$74.13	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $112.20	Professional		$13.80	$13.80	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $77.62 / $77.62	Facility		$19.05	$77.62	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $141.25	Facility		$75.86	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $87.10	Professional		$31.62	$39.81	$87.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $60.26 / $223.87	Facility		$24.55	$60.26	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $131.83	Facility		$22.39	$27.54	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $63.10	Professional		$16.60	$23.44	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $85.11	Professional		$23.44	$41.69	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $251.19	Professional		$35.48	$70.79	$251.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $131.83	Facility		$56.23	$56.23	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.20 / $26.92	Professional		$14.79	$18.20	$26.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $58.88	Professional		$41.69	$41.69	$58.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $81.28 / $154.88	Professional		$41.69	$81.28	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $24.55 / $33.11	Facility		$20.89	$24.55	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $69.18	Professional		$13.80	$22.91	$69.18