Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $114.82 / $263.03	Facility		$57.54	$114.82	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.88 / $112.20	Professional		$22.39	$33.88	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $112.20 / $114.82	Facility		$89.13	$112.20	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $147.91	Professional		$16.60	$16.60	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $134.90 / $213.80	Facility		$114.82	$134.90	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $131.83	Professional		$47.86	$60.26	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $83.18 / $199.53	Facility		$22.39	$83.18	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.02 / $275.42	Facility		$22.39	$38.02	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $72.44	Professional		$20.42	$25.12	$72.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $87.10	Professional		$32.36	$48.98	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $107.15 / $251.19	Professional		$53.70	$107.15	$251.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $275.42	Facility		$83.18	$83.18	$275.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $24.55	Professional		$16.60	$16.60	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $89.13	Professional		$25.70	$25.70	$89.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $229.09	Professional		$25.70	$25.70	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $33.11 / $50.12	Facility		$20.89	$33.11	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $75.86	Professional		$17.38	$25.12	$75.86