Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $45.71 / $56.23	Facility		$23.99	$45.71	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $23.99	Professional		$15.14	$16.98	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $56.23	Facility		$43.65	$54.95	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $81.28	Professional		$10.00	$10.00	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $104.71	Facility		$56.23	$64.57	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $63.10	Professional		$23.44	$29.51	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $44.67 / $162.18	Facility		$18.20	$44.67	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $141.25	Facility		$16.22	$19.05	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $46.77	Professional		$12.30	$16.98	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $33.11 / $72.44	Professional		$10.23	$33.11	$72.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $208.93	Professional		$26.30	$52.48	$208.93
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $141.25	Facility		$40.74	$40.74	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $19.95	Professional		$10.72	$13.49	$19.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $43.65	Professional		$20.89	$20.89	$43.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $81.28 / $125.89	Professional		$20.89	$81.28	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $24.55	Facility		$15.49	$18.20	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.98 / $50.12	Professional		$8.51	$16.98	$50.12