Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $144.54 / $269.15	Facility		$30.90	$144.54	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $162.18	Professional		$12.88	$19.05	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $56.23	Facility		$43.65	$54.95	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $72.44	Professional		$8.13	$8.13	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $104.71	Facility		$56.23	$64.57	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $64.57	Professional		$23.44	$29.51	$64.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $40.74 / $72.44	Facility		$7.94	$40.74	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $24.55 / $123.03	Facility		$7.94	$24.55	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $12.30 / $31.62	Professional		$6.92	$12.30	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $31.62 / $64.57	Professional		$12.30	$31.62	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $47.86 / $67.61	Professional		$26.30	$47.86	$67.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $100.00	Facility		$40.74	$40.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.03 / $8.91	Professional		$5.89	$6.03	$8.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $43.65	Professional		$37.15	$37.15	$43.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $58.88 / $112.20	Professional		$37.15	$58.88	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.22 / $24.55	Facility		$10.23	$16.22	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.30 / $37.15	Professional		$7.41	$12.30	$37.15