Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $83.18	Facility		$34.67	$50.12	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $34.67	Professional		$20.89	$22.91	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $43.65	Facility		$33.88	$42.66	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $104.71	Professional		$12.02	$12.02	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $22.91	Facility		$11.75	$11.75	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.50 / $151.36	Facility		$81.28	$95.50	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $93.33	Professional		$34.67	$42.66	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $60.26 / $177.83	Facility		$21.38	$60.26	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.92 / $181.97	Facility		$21.38	$26.92	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $53.70	Professional		$14.79	$18.62	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $79.43	Professional		$30.20	$33.11	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $158.49	Professional		$61.66	$109.65	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $181.97	Facility		$60.26	$60.26	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $36.31	Professional		$15.14	$22.39	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $63.10	Professional		$22.91	$22.91	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $162.18	Professional		$22.91	$22.91	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.99 / $36.31	Facility		$13.80	$23.99	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $64.57	Professional		$12.59	$17.78	$64.57