Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $100.00 / $125.89	Facility		$44.67	$100.00	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $45.71	Professional		$44.67	$44.67	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $158.49	Professional		$18.20	$18.20	$158.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $131.83 / $181.97	Facility		$97.72	$131.83	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $141.25	Professional		$52.48	$64.57	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $186.21 / $263.03	Facility		$45.71	$186.21	$263.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $213.80	Facility		$45.71	$45.71	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $81.28	Professional		$26.92	$45.71	$81.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $85.11	Professional		$45.71	$67.61	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $104.71 / $147.91	Professional		$33.88	$104.71	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $213.80	Facility		$91.20	$91.20	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $30.90	Professional		$22.39	$22.39	$30.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Security Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $245.47	Professional		$45.71	$45.71	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $54.95	Facility		$36.31	$36.31	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $45.71 / $81.28	Professional		$26.92	$45.71	$81.28