Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $141.25 / $234.42	Facility		$41.69	$141.25	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $95.50	Professional		$14.13	$16.98	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $50.12	Facility		$39.81	$48.98	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $74.13	Professional		$10.47	$10.47	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $51.29 / $52.48	Facility		$12.59	$51.29	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $93.33	Facility		$50.12	$58.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $57.54	Professional		$20.89	$26.30	$57.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $147.91	Facility		$16.22	$39.81	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $117.49 / $213.80	Facility		$16.22	$117.49	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $18.20 / $89.13	Professional		$10.72	$18.20	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $36.31 / $64.57	Professional		$15.85	$36.31	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $138.04	Professional		$23.44	$46.77	$138.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $87.10	Facility		$37.15	$37.15	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $18.20	Professional		$9.77	$12.02	$18.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $100.00	Professional		$38.90	$38.90	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.22 / $21.88	Facility		$13.80	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.14 / $50.12	Professional		$7.76	$15.14	$50.12