Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $125.89 / $239.88	Facility		$47.86	$125.89	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.62 / $37.15	Professional		$15.85	$18.62	$37.15
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 $17.38 / $26.92 / $190.55	Facility		$17.38	$26.92	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $52.48	Professional		$12.88	$17.38	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $41.69 / $85.11	Professional		$21.38	$41.69	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $54.95 / $208.93	Professional		$27.54	$54.95	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $102.33	Facility		$42.66	$42.66	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $20.42	Professional		$11.22	$14.13	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $61.66	Professional		$45.71	$45.71	$61.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $102.33 / $131.83	Professional		$61.66	$102.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $25.70	Facility		$15.85	$19.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.38 / $52.48	Professional		$10.72	$17.38	$52.48