Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $128.82 / $158.49	Facility		$69.18	$128.82	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $69.18	Professional		$43.65	$48.98	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $154.88 / $158.49	Facility		$125.89	$154.88	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $234.42	Professional		$28.84	$28.84	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $295.12	Facility		$158.49	$186.21	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $181.97	Professional		$66.07	$87.10	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $125.89 / $467.74	Facility		$51.29	$125.89	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $54.95 / $537.03	Facility		$45.71	$54.95	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $47.86 / $131.83	Professional		$34.67	$47.86	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $114.82	Professional		$28.84	$57.54	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $204.17	Professional		$74.13	$147.91	$204.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $537.03	Facility		$114.82	$114.82	$537.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $257.04	Professional		$123.03	$123.03	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $323.59	Professional		$223.87	$257.04	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $69.18	Facility		$43.65	$51.29	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $131.83	Professional		$28.84	$47.86	$131.83