Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $81.28	Facility		$34.67	$66.07	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $34.67	Professional		$21.88	$25.12	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $81.28	Facility		$63.10	$79.43	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $117.49	Professional		$14.79	$14.79	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
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 $15.85 / $64.57 / $234.42	Facility		$15.85	$64.57	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.92 / $141.25	Facility		$15.85	$26.92	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $67.61	Professional		$17.38	$24.55	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $104.71	Professional		$29.51	$54.95	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.86 / $104.71	Professional		$38.02	$75.86	$104.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $141.25	Facility		$70.79	$70.79	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $28.84	Professional		$15.85	$19.50	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $63.10	Professional		$30.20	$30.20	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $117.49 / $181.97	Professional		$30.20	$117.49	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $35.48	Facility		$22.39	$26.30	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $23.99 / $67.61	Professional		$12.59	$23.99	$67.61