Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $45.71 / $389.05	Facility		$25.12	$45.71	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $33.11	Professional		$15.85	$18.20	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $66.07	Facility		$51.29	$64.57	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $85.11	Professional		$9.55	$9.55	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $60.26 / $61.66	Facility		$15.85	$60.26	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
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 $16.22 / $47.86 / $144.54	Facility		$16.22	$47.86	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.91 / $186.21	Facility		$16.22	$22.91	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $44.67	Professional		$12.02	$15.14	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.48 / $64.57	Professional		$23.99	$35.48	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $79.43	Professional		$30.90	$61.66	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $186.21	Facility		$47.86	$47.86	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $17.78	Professional		$12.02	$12.02	$17.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $141.25	Professional		$51.29	$51.29	$141.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $131.83 / $141.25	Professional		$72.44	$131.83	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $19.50 / $28.84	Facility		$13.49	$19.50	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $46.77	Professional		$10.72	$14.79	$46.77