Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $141.25	Facility		$58.88	$114.82	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $61.66	Professional		$38.90	$43.65	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $138.04 / $141.25	Facility		$109.65	$138.04	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $204.17	Professional		$25.12	$25.12	$204.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $165.96 / $263.03	Facility		$141.25	$165.96	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $74.13 / $158.49	Professional		$58.88	$74.13	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $112.20 / $426.58	Facility		$39.81	$112.20	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $51.29 / $245.47	Facility		$39.81	$51.29	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $43.65 / $120.23	Professional		$30.20	$43.65	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $51.29 / $85.11	Professional		$25.70	$51.29	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $131.83 / $181.97	Professional		$66.07	$131.83	$181.97
Quartz Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $245.47	Facility		$102.33	$102.33	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $33.11	Professional		$26.92	$26.92	$33.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $109.65	Professional		$54.95	$54.95	$109.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $281.84	Professional		$54.95	$54.95	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $45.71 / $61.66	Facility		$39.81	$45.71	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $43.65 / $120.23	Professional		$25.70	$43.65	$120.23