Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $74.13 / $323.59	Facility		$39.81	$74.13	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.89 / $32.36	Professional		$16.22	$20.89	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $72.44 / $74.13	Facility		$57.54	$72.44	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $93.33	Professional		$10.72	$10.72	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
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 $30.90 / $38.90 / $83.18	Professional		$30.90	$38.90	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $53.70 / $141.25	Facility		$15.85	$53.70	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.99 / $151.36	Facility		$15.85	$23.99	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $47.86	Professional		$13.49	$15.85	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $34.67 / $85.11	Professional		$13.49	$34.67	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $63.10 / $87.10	Professional		$34.67	$63.10	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $151.36	Facility		$53.70	$53.70	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.02 / $17.38	Professional		$11.75	$12.02	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $66.07	Professional		$56.23	$56.23	$66.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $147.91	Professional		$66.07	$70.79	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.38 / $32.36	Facility		$13.49	$21.38	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $51.29	Professional		$11.22	$15.85	$51.29