Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $67.61 / $134.90	Facility		$38.02	$67.61	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $64.57	Professional		$23.99	$26.92	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $87.10 / $89.13	Facility		$69.18	$87.10	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $128.82	Professional		$15.85	$15.85	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $165.96	Facility		$89.13	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $100.00	Professional		$37.15	$46.77	$100.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $70.79 / $257.04	Facility		$28.84	$70.79	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.20 / $275.42	Facility		$25.70	$30.20	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $79.43	Professional		$19.50	$26.92	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $54.95 / $85.11	Professional		$15.85	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $83.18 / $173.78	Professional		$41.69	$83.18	$173.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $275.42	Facility		$64.57	$64.57	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $31.62	Professional		$16.98	$21.38	$31.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $69.18	Professional		$33.11	$33.11	$69.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $177.83	Professional		$33.11	$33.11	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.84 / $38.90	Facility		$24.55	$28.84	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.30 / $79.43	Professional		$16.22	$26.30	$79.43