Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $169.82 / $338.84	Facility		$29.51	$169.82	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $48.98	Professional		$15.85	$19.05	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $57.54 / $58.88	Facility		$45.71	$57.54	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $85.11	Professional		$10.47	$10.47	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $109.65	Facility		$58.88	$69.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $66.07	Professional		$24.55	$30.20	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $46.77 / $169.82	Facility		$19.05	$46.77	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $234.42	Facility		$16.98	$25.70	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $52.48	Professional		$12.59	$17.78	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $41.69 / $85.11	Professional		$18.20	$41.69	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $54.95 / $107.15	Professional		$27.54	$54.95	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $234.42	Facility		$51.29	$51.29	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.13 / $20.89	Professional		$11.22	$14.13	$20.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $63.10	Professional		$45.71	$45.71	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $131.83	Professional		$63.10	$102.33	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $25.70	Facility		$16.22	$19.05	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.38 / $52.48	Professional		$10.72	$17.38	$52.48