Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $177.83	Facility		$77.62	$144.54	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $77.62	Professional		$47.86	$54.95	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $173.78 / $177.83	Facility		$138.04	$173.78	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $257.04	Professional		$31.62	$31.62	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $208.93 / $331.13	Facility		$177.83	$208.93	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $93.33 / $199.53	Professional		$74.13	$93.33	$199.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $141.25 / $512.86	Facility		$54.95	$141.25	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $57.54 / $309.03	Facility		$51.29	$57.54	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $144.54	Professional		$38.02	$53.70	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $177.83	Professional		$32.36	$64.57	$177.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $165.96 / $223.87	Professional		$83.18	$165.96	$223.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $309.03	Facility		$128.82	$128.82	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $63.10	Professional		$33.88	$42.66	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $138.04	Professional		$66.07	$66.07	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $354.81	Professional		$66.07	$66.07	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $57.54 / $77.62	Facility		$48.98	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $52.48 / $144.54	Professional		$32.36	$52.48	$144.54