Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $57.54 / $199.53	Facility		$24.55	$57.54	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $31.62	Professional		$12.02	$15.85	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $48.98	Facility		$38.90	$47.86	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $72.44	Professional		$8.91	$8.91	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $93.33	Facility		$50.12	$57.54	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $56.23	Professional		$20.42	$25.70	$56.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $38.90 / $144.54	Facility		$16.22	$38.90	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $85.11	Facility		$14.13	$16.98	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $44.67	Professional		$10.72	$14.79	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $35.48 / $85.11	Professional		$17.78	$35.48	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $63.10	Professional		$23.44	$45.71	$63.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $85.11	Facility		$36.31	$36.31	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $12.02	Professional		$9.55	$9.55	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $38.02	Professional		$18.62	$18.62	$38.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $97.72	Professional		$18.62	$18.62	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $21.38	Facility		$13.49	$15.85	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.79 / $40.74	Professional		$8.91	$14.79	$40.74