Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $81.28	Facility		$34.67	$64.57	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $114.82	Professional		$19.05	$25.12	$114.82
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 $14.45 / $14.45 / $117.49	Professional		$14.45	$14.45	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
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 $33.88 / $42.66 / $91.20	Professional		$33.88	$42.66	$91.20
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 $22.91 / $27.54 / $204.17	Facility		$22.91	$27.54	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $66.07	Professional		$17.38	$24.55	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $85.11	Professional		$25.12	$43.65	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $74.13 / $239.88	Professional		$38.02	$74.13	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $204.17	Facility		$58.88	$58.88	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $28.84	Professional		$15.49	$19.05	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $75.86	Professional		$61.66	$61.66	$75.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $181.97	Professional		$75.86	$117.49	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $26.30 / $35.48	Facility		$21.88	$26.30	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $23.99 / $72.44	Professional		$14.79	$23.99	$72.44