Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $109.65 / $134.90	Facility		$57.54	$109.65	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $70.79	Professional		$37.15	$42.66	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $131.83 / $134.90	Facility		$104.71	$131.83	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $194.98	Professional		$23.99	$23.99	$194.98
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 $134.90 / $158.49 / $251.19	Facility		$134.90	$158.49	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $151.36	Professional		$56.23	$70.79	$151.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $107.15 / $389.05	Facility		$43.65	$107.15	$389.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $245.47	Facility		$38.90	$45.71	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $112.20	Professional		$28.84	$40.74	$112.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $173.78	Professional		$32.36	$54.95	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $125.89 / $524.81	Professional		$63.10	$125.89	$524.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $371.54	Facility		$117.49	$117.49	$371.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $47.86	Professional		$25.70	$32.36	$47.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $104.71	Professional		$50.12	$50.12	$104.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $194.98 / $302.00	Professional		$50.12	$194.98	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $43.65 / $58.88	Facility		$37.15	$43.65	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $39.81 / $120.23	Professional		$20.42	$39.81	$120.23