Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $158.49 / $316.23	Facility		$58.88	$158.49	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.44 / $107.15	Professional		$12.59	$23.44	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $47.86	Facility		$37.15	$46.77	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $60.26	Professional		$6.92	$6.92	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $42.66 / $43.65	Facility		$17.38	$42.66	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $89.13	Facility		$47.86	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $53.70	Professional		$19.95	$24.55	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $60.26 / $100.00	Facility		$8.91	$60.26	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $22.39 / $144.54	Facility		$8.91	$22.39	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.47 / $30.90	Professional		$8.71	$10.47	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $17.38 / $85.11	Professional		$8.71	$17.38	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $40.74 / $57.54	Professional		$22.39	$40.74	$57.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $81.28	Facility		$34.67	$34.67	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $9.12	Professional		$8.13	$8.13	$9.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $37.15	Professional		$17.38	$17.38	$37.15
Security Health Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $104.71 / $120.23	Facility		$87.10	$104.71	$120.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $93.33	Professional		$17.38	$17.38	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $20.89	Facility		$13.80	$13.80	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $33.11	Professional		$7.24	$10.47	$33.11