Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $147.91 / $288.40	Facility		$22.39	$147.91	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $27.54	Professional		$10.96	$18.20	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $41.69	Facility		$32.36	$40.74	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $60.26	Professional		$7.41	$7.41	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $77.62	Facility		$41.69	$48.98	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $46.77	Professional		$16.98	$21.38	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $120.23	Facility		$13.49	$33.11	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $141.25	Facility		$12.02	$15.14	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $33.88	Professional		$8.91	$12.30	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $33.11 / $85.11	Professional		$7.41	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $87.10	Professional		$19.50	$38.02	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $141.25	Facility		$31.62	$31.62	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $14.79	Professional		$7.94	$10.00	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $72.44	Professional		$32.36	$32.36	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $93.33	Professional		$45.71	$72.44	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.49 / $18.20	Facility		$11.22	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.30 / $37.15	Professional		$6.31	$12.30	$37.15