Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $93.33 / $363.08	Facility		$42.66	$93.33	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $39.81	Professional		$15.14	$19.05	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $57.54	Facility		$44.67	$56.23	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $61.66	Professional		$10.23	$10.23	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $57.54 / $58.88	Facility		$14.13	$57.54	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $107.15	Facility		$57.54	$67.61	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.20 / $64.57	Professional		$23.99	$30.20	$64.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $44.67	Facility		$18.62	$26.92	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.12 / $169.82	Facility		$16.98	$25.12	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $12.59 / $32.36	Professional		$4.27	$12.59	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $32.36 / $85.11	Professional		$7.08	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $48.98 / $72.44	Professional		$26.92	$48.98	$72.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $100.00	Facility		$41.69	$41.69	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $20.42	Professional		$10.96	$13.80	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $48.98	Professional		$44.67	$44.67	$48.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $60.26 / $117.49	Professional		$26.30	$60.26	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.62 / $25.12	Facility		$15.85	$18.62	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $12.59 / $40.74	Professional		$4.37	$12.59	$40.74