Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $134.90 / $165.96	Facility		$72.44	$134.90	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $72.44	Professional		$39.81	$48.98	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $162.18 / $165.96	Facility		$131.83	$162.18	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $177.83	Professional		$24.55	$24.55	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $309.03	Facility		$165.96	$194.98	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $190.55	Professional		$69.18	$87.10	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $72.44 / $104.71	Facility		$30.20	$72.44	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $54.95 / $288.40	Facility		$30.20	$54.95	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $36.31 / $93.33	Professional		$9.77	$36.31	$93.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.11 / $85.11	Professional		$23.44	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $141.25 / $199.53	Professional		$52.48	$141.25	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $288.40	Facility		$120.23	$120.23	$288.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.94 / $11.75	Professional		$7.76	$7.94	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $128.82	Professional		$12.30	$12.30	$128.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $47.86 / $331.13	Professional		$12.30	$47.86	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $72.44	Facility		$30.20	$48.98	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $36.31 / $109.65	Professional		$10.00	$36.31	$109.65