Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $39.81 / $74.13	Facility		$30.90	$39.81	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $21.88 / $30.90	Professional		$19.95	$21.88	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $74.13	Facility		$57.54	$72.44	$74.13
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 $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $134.90	Facility		$72.44	$85.11	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $83.18	Professional		$30.90	$38.02	$83.18
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 $20.89 / $23.99 / $53.70	Facility		$20.89	$23.99	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $56.23	Professional		$14.45	$20.42	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $47.86 / $85.11	Professional		$22.91	$47.86	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $67.61 / $213.80	Professional		$34.67	$67.61	$213.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $125.89	Facility		$53.70	$53.70	$125.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $23.99	Professional		$14.13	$16.22	$23.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $194.98	Professional		$56.23	$56.23	$194.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $194.98	Professional		$112.20	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.88 / $31.62	Facility		$18.62	$21.88	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $20.42 / $60.26	Professional		$12.02	$20.42	$60.26