Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $53.70 / $66.07	Facility		$28.84	$53.70	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $28.84	Professional		$18.20	$19.95	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $66.07	Facility		$52.48	$66.07	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $97.72	Professional		$12.02	$12.02	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $123.03	Facility		$66.07	$77.62	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $75.86	Professional		$28.18	$35.48	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $53.70 / $194.98	Facility		$21.88	$53.70	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.91 / $173.78	Facility		$19.05	$22.91	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.95 / $54.95	Professional		$14.45	$19.95	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $85.11	Professional		$24.55	$36.31	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $61.66 / $331.13	Professional		$31.62	$61.66	$331.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $173.78	Facility		$48.98	$48.98	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $23.99	Professional		$12.88	$15.85	$23.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $51.29	Professional		$25.12	$25.12	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $123.03 / $169.82	Professional		$25.12	$123.03	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $21.38 / $28.84	Facility		$18.20	$21.38	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $60.26	Professional		$11.22	$19.95	$60.26