Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $144.54 / $524.81	Facility		$35.48	$144.54	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $30.20	Professional		$19.05	$22.39	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $70.79	Facility		$54.95	$69.18	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $102.33	Professional		$12.59	$12.59	$102.33
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 $70.79 / $81.28 / $131.83	Facility		$70.79	$81.28	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $79.43	Professional		$29.51	$36.31	$79.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $56.23 / $204.17	Facility		$22.91	$56.23	$204.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $169.82	Facility		$20.42	$24.55	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $20.89 / $57.54	Professional		$15.14	$20.89	$57.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $54.95 / $89.13	Professional		$25.70	$54.95	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $245.47	Professional		$32.36	$64.57	$245.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $169.82	Facility		$51.29	$51.29	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $25.12	Professional		$13.49	$16.98	$25.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $57.54	Professional		$54.95	$54.95	$57.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $112.20 / $158.49	Professional		$57.54	$112.20	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.91 / $30.90	Facility		$19.05	$22.91	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.89 / $57.54	Professional		$10.96	$20.89	$57.54