Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $45.71 / $275.42	Facility		$19.95	$45.71	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $45.71	Professional		$12.02	$15.14	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $45.71	Facility		$36.31	$45.71	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $67.61	Professional		$8.32	$8.32	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $85.11	Facility		$45.71	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $52.48	Professional		$19.50	$23.99	$52.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $36.31 / $134.90	Facility		$14.79	$36.31	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $107.15	Facility		$13.18	$15.85	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $38.02	Professional		$10.00	$13.80	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $64.57	Professional		$16.98	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $199.53	Professional		$21.38	$42.66	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $107.15	Facility		$33.88	$33.88	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $16.60	Professional		$8.91	$11.22	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $70.79	Professional		$35.48	$35.48	$70.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $102.33	Professional		$67.61	$79.43	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $19.95	Facility		$12.59	$14.79	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.80 / $41.69	Professional		$8.32	$13.80	$41.69