Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $97.72 / $645.65	Facility		$40.74	$97.72	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $34.67	Professional		$21.88	$26.30	$34.67
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 $81.28 / $95.50 / $151.36	Facility		$81.28	$95.50	$151.36
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 $23.44 / $27.54 / $199.53	Facility		$23.44	$27.54	$199.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $24.55 / $81.28	Professional		$17.78	$24.55	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $85.11	Professional		$29.51	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $316.23	Professional		$38.02	$75.86	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $199.53	Facility		$58.88	$58.88	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $28.84	Professional		$15.49	$19.50	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $63.10	Professional		$30.20	$30.20	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $117.49 / $181.97	Professional		$30.20	$117.49	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $35.48	Facility		$22.39	$26.30	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $24.55 / $72.44	Professional		$14.79	$24.55	$72.44