Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $147.91 / $223.87	Facility		$31.62	$147.91	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $42.66	Professional		$15.85	$19.05	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $58.88	Facility		$45.71	$57.54	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $85.11	Professional		$10.47	$10.47	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $58.88 / $60.26	Facility		$14.45	$58.88	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
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 / $30.20 / $66.07	Professional		$24.55	$30.20	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $46.77 / $169.82	Facility		$19.05	$46.77	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.88 / $181.97	Facility		$16.98	$21.88	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $58.88	Professional		$12.59	$17.78	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $33.11 / $75.86	Professional		$10.72	$33.11	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $54.95 / $199.53	Professional		$27.54	$54.95	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $181.97	Facility		$42.66	$42.66	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $20.89	Professional		$11.22	$14.13	$20.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $56.23	Professional		$45.71	$45.71	$56.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $114.82	Professional		$56.23	$56.23	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $25.70	Facility		$16.22	$19.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $17.38 / $52.48	Professional		$8.91	$17.38	$52.48