Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $63.10 / $77.62	Facility		$33.88	$63.10	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $33.88	Professional		$20.89	$23.99	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $75.86 / $77.62	Facility		$61.66	$75.86	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $104.71	Professional		$12.88	$12.88	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $91.20 / $144.54	Facility		$77.62	$91.20	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $89.13	Professional		$32.36	$40.74	$89.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $57.54 / $208.93	Facility		$23.44	$57.54	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $25.70 / $181.97	Facility		$22.39	$25.70	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $60.26	Professional		$16.60	$21.88	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $33.11 / $85.11	Professional		$14.13	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $72.44 / $371.54	Professional		$36.31	$72.44	$371.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $181.97	Facility		$57.54	$57.54	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.38 / $25.70	Professional		$15.14	$17.38	$25.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $60.26	Professional		$26.92	$26.92	$60.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $112.20 / $173.78	Professional		$26.92	$112.20	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $23.44 / $33.88	Facility		$19.95	$23.44	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.88 / $64.57	Professional		$14.13	$21.88	$64.57