Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $398.11 / $870.96	Facility		$48.98	$398.11	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $64.57 / $165.96	Professional		$15.49	$64.57	$165.96
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 $14.45 / $50.12 / $50.12	Facility		$14.45	$50.12	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
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 $15.85 / $38.90 / $144.54	Facility		$15.85	$38.90	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.70 / $138.04	Facility		$15.85	$25.70	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $58.88	Professional		$10.72	$15.14	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $48.98 / $85.11	Professional		$17.78	$48.98	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $123.03	Professional		$23.44	$45.71	$123.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $120.23	Facility		$42.66	$42.66	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $17.38	Professional		$9.55	$11.75	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $42.66	Professional		$38.02	$38.02	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $97.72	Professional		$42.66	$42.66	$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 / $44.67	Professional		$8.91	$14.79	$44.67