Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $69.18 / $85.11	Facility		$37.15	$69.18	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $44.67	Professional		$22.91	$26.92	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $83.18 / $85.11	Facility		$66.07	$83.18	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $123.03	Professional		$15.14	$15.14	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $158.49	Facility		$85.11	$100.00	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $97.72	Professional		$35.48	$44.67	$97.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $67.61 / $245.47	Facility		$27.54	$67.61	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.84 / $151.36	Facility		$24.55	$28.84	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $70.79	Professional		$18.20	$25.70	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $46.77 / $85.11	Professional		$15.49	$46.77	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $79.43 / $218.78	Professional		$39.81	$79.43	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $151.36	Facility		$61.66	$61.66	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $30.20	Professional		$16.60	$20.42	$30.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $66.07	Professional		$31.62	$31.62	$66.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $123.03 / $190.55	Professional		$31.62	$123.03	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $37.15	Facility		$23.44	$27.54	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.12 / $75.86	Professional		$12.88	$25.12	$75.86