Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $162.18	Facility		$39.81	$79.43	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $39.81	Professional		$25.12	$29.51	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $93.33	Facility		$72.44	$91.20	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $134.90	Professional		$16.60	$16.60	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $173.78	Facility		$93.33	$109.65	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $107.15	Professional		$38.90	$48.98	$107.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $74.13 / $269.15	Facility		$30.20	$74.13	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $173.78	Facility		$26.92	$31.62	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $77.62	Professional		$19.95	$28.18	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $120.23	Professional		$32.36	$64.57	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $208.93	Professional		$43.65	$87.10	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $173.78	Facility		$67.61	$67.61	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $33.11	Professional		$17.78	$22.39	$33.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $72.44	Professional		$34.67	$34.67	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $186.21	Professional		$34.67	$34.67	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $30.20 / $40.74	Facility		$25.70	$30.20	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $27.54 / $83.18	Professional		$14.13	$27.54	$83.18