Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $46.77 / $676.08	Facility		$23.99	$46.77	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $19.95	Professional		$12.02	$15.14	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $46.77	Facility		$37.15	$46.77	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $69.18	Professional		$8.51	$8.51	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $87.10	Facility		$46.77	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $53.70	Professional		$19.95	$24.55	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $37.15 / $138.04	Facility		$15.49	$37.15	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.22 / $147.91	Facility		$13.49	$16.22	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $38.90	Professional		$10.00	$14.13	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $33.88 / $64.57	Professional		$8.51	$33.88	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $91.20	Professional		$21.88	$43.65	$91.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $147.91	Facility		$34.67	$34.67	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $16.60	Professional		$9.12	$11.22	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $36.31	Professional		$17.78	$17.78	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $93.33	Professional		$17.78	$17.78	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.14 / $20.42	Facility		$12.88	$15.14	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.80 / $42.66	Professional		$7.24	$13.80	$42.66