Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $47.86 / $141.25	Facility		$25.12	$47.86	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $26.92	Professional		$15.14	$18.20	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $56.23 / $57.54	Facility		$45.71	$56.23	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $85.11	Professional		$10.47	$10.47	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $107.15	Facility		$57.54	$67.61	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $66.07	Professional		$24.55	$30.20	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $45.71 / $169.82	Facility		$18.62	$45.71	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $45.71	Facility		$16.60	$19.95	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $47.86	Professional		$12.59	$17.38	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $74.13	Professional		$20.89	$41.69	$74.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $53.70 / $245.47	Professional		$26.92	$53.70	$245.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $194.98	Facility		$50.12	$50.12	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $20.42	Professional		$11.22	$13.80	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $44.67	Professional		$21.88	$21.88	$44.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $114.82	Professional		$21.88	$21.88	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.62 / $25.12	Facility		$15.85	$18.62	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.38 / $48.98	Professional		$10.47	$17.38	$48.98