Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $158.49 / $354.81	Facility		$47.86	$158.49	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $91.20	Professional		$16.98	$20.89	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $61.66 / $63.10	Facility		$48.98	$61.66	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $91.20	Professional		$11.22	$11.22	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $74.13 / $117.49	Facility		$63.10	$74.13	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $70.79	Professional		$26.30	$33.11	$70.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $50.12 / $181.97	Facility		$20.42	$50.12	$181.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $27.54 / $223.87	Facility		$18.20	$27.54	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $52.48	Professional		$13.49	$19.05	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $34.67 / $81.28	Professional		$19.50	$34.67	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $275.42	Professional		$29.51	$58.88	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $213.80	Facility		$45.71	$45.71	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $22.39	Professional		$12.02	$15.14	$22.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $89.13	Professional		$48.98	$48.98	$89.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $125.89	Professional		$89.13	$89.13	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.42 / $27.54	Facility		$17.38	$20.42	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.62 / $56.23	Professional		$10.00	$18.62	$56.23