Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $234.42 / $575.44	Facility		$60.26	$234.42	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $60.26	Professional		$19.95	$25.12	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $74.13	Facility		$58.88	$72.44	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $109.65	Professional		$13.18	$13.18	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $74.13 / $75.86	Facility		$18.62	$74.13	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $138.04	Facility		$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $85.11	Professional		$31.62	$38.90	$85.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $58.88 / $213.80	Facility		$17.38	$58.88	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $169.82 / $407.38	Facility		$20.42	$169.82	$407.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.88 / $67.61	Professional		$13.80	$21.88	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $40.74 / $85.11	Professional		$23.44	$40.74	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $95.50	Professional		$34.67	$69.18	$95.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $128.82	Facility		$54.95	$54.95	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $17.78	Professional		$12.88	$12.88	$17.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $269.15	Professional		$57.54	$57.54	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $147.91 / $269.15	Professional		$91.20	$147.91	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.99 / $32.36	Facility		$20.42	$23.99	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $21.88 / $60.26	Professional		$11.75	$21.88	$60.26