Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $446.68 / $2,238.72	Facility		$23.99	$446.68	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $33.11	Professional		$15.14	$18.20	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.70 / $54.95	Facility		$42.66	$53.70	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $81.28	Professional		$10.00	$10.00	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $102.33	Facility		$54.95	$64.57	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $63.10	Professional		$22.91	$30.20	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $60.26 / $154.88	Facility		$17.78	$60.26	$154.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $134.90	Professional		$120.23	$120.23	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.88 / $85.11	Facility		$16.60	$21.88	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $165.96	Professional		$10.72	$16.98	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $70.79	Professional		$22.91	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $69.18	Professional		$30.90	$50.12	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $95.50	Facility		$39.81	$39.81	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $112.20 / $165.96	Professional		$13.18	$112.20	$165.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $75.86	Professional		$42.66	$42.66	$75.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $109.65	Professional		$75.86	$75.86	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.78 / $23.99	Facility		$15.14	$17.78	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $15.49 / $38.90	Professional		$8.51	$15.49	$38.90