Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $44.67 / $56.23	Facility		$23.99	$44.67	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $23.99	Professional		$15.14	$16.98	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $56.23	Facility		$43.65	$54.95	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $81.28	Professional		$10.00	$10.00	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $104.71	Facility		$56.23	$64.57	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $63.10	Professional		$23.44	$29.51	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $44.67 / $162.18	Facility		$18.20	$44.67	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $120.23	Facility		$15.85	$19.05	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.60 / $45.71	Professional		$12.02	$16.60	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.11 / $70.79	Professional		$17.38	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $199.53	Professional		$26.30	$51.29	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $120.23	Facility		$40.74	$40.74	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $19.95	Professional		$10.72	$13.49	$19.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $42.66	Professional		$20.89	$20.89	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $58.88 / $112.20	Professional		$20.89	$58.88	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.78 / $23.99	Facility		$15.14	$17.78	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.60 / $50.12	Professional		$10.00	$16.60	$50.12