Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $48.98 / $162.18	Facility		$20.89	$48.98	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $69.18	Professional		$12.88	$15.49	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $47.86 / $48.98	Facility		$38.02	$47.86	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $70.79	Professional		$8.71	$8.71	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $91.20	Facility		$48.98	$56.23	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $54.95	Professional		$20.42	$25.70	$54.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.90 / $141.25	Facility		$15.85	$38.90	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $100.00	Facility		$13.80	$16.60	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $39.81	Professional		$10.23	$14.45	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $64.57	Professional		$17.78	$34.67	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $44.67 / $61.66	Professional		$22.91	$44.67	$61.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $100.00	Facility		$35.48	$35.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $17.38	Professional		$9.33	$11.48	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $37.15	Professional		$33.88	$33.88	$37.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $89.13 / $109.65	Professional		$33.88	$89.13	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $21.38	Facility		$13.18	$15.85	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $14.45 / $43.65	Professional		$7.41	$14.45	$43.65