Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $208.93 / $269.15	Facility		$42.66	$208.93	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.11 / $144.54	Professional		$26.92	$33.11	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $100.00	Facility		$79.43	$97.72	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $147.91	Professional		$18.20	$18.20	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $186.21	Facility		$100.00	$117.49	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $114.82	Professional		$41.69	$52.48	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $79.43 / $295.12	Facility		$32.36	$79.43	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $34.67 / $229.09	Facility		$28.84	$34.67	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $83.18	Professional		$21.88	$30.90	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $85.11	Professional		$18.20	$36.31	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $239.88	Professional		$46.77	$93.33	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $229.09	Facility		$72.44	$72.44	$229.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $35.48	Professional		$19.50	$23.99	$35.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $77.62	Professional		$64.57	$64.57	$77.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $181.97 / $223.87	Professional		$64.57	$181.97	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $32.36 / $43.65	Facility		$27.54	$32.36	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $30.20 / $91.20	Professional		$18.20	$30.20	$91.20