Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $70.79	Facility		$30.20	$57.54	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.95 / $30.20	Professional		$18.20	$19.95	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $69.18 / $70.79	Facility		$54.95	$69.18	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $89.13	Professional		$15.49	$15.49	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $81.28 / $131.83	Facility		$70.79	$81.28	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $79.43	Professional		$29.51	$36.31	$79.43
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $51.29 / $125.89	Facility		$17.38	$51.29	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $120.23	Facility		$17.38	$22.91	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.49 / $45.71	Professional		$12.88	$15.49	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.90 / $64.57	Professional		$19.95	$30.90	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $66.07 / $85.11	Professional		$33.11	$66.07	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $120.23	Facility		$51.29	$51.29	$120.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.18 / $19.05	Professional		$12.88	$13.18	$19.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $54.95	Professional		$33.11	$33.11	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $74.13 / $194.98	Professional		$33.11	$74.13	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $20.42 / $30.90	Facility		$14.79	$20.42	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.49 / $46.77	Professional		$10.72	$15.49	$46.77