Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $123.03 / $199.53	Facility		$32.36	$123.03	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $48.98	Professional		$15.14	$19.50	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $60.26	Facility		$46.77	$58.88	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $87.10	Professional		$10.72	$10.72	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $60.26 / $61.66	Facility		$14.79	$60.26	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $109.65	Facility		$58.88	$69.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $67.61	Professional		$24.55	$30.90	$67.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $47.86 / $173.78	Facility		$19.50	$47.86	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $27.54 / $141.25	Facility		$17.78	$27.54	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $48.98	Professional		$12.88	$17.78	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $75.86	Professional		$21.88	$33.11	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $107.15	Professional		$28.18	$54.95	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $104.71	Facility		$43.65	$43.65	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $21.38	Professional		$11.48	$14.45	$21.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $46.77	Professional		$34.67	$34.67	$46.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $117.49	Professional		$34.67	$34.67	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $26.30	Facility		$16.22	$19.50	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $17.38 / $53.70	Professional		$9.12	$17.38	$53.70