Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $77.62 / $257.04	Facility		$41.69	$77.62	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $74.13	Professional		$22.91	$30.90	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $95.50	Facility		$75.86	$93.33	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $144.54	Professional		$17.38	$17.38	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $52.48 / $100.00	Facility		$35.48	$52.48	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $48.98	Professional		$35.48	$38.90	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $177.83	Facility		$95.50	$112.20	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $85.11 / $109.65	Professional		$39.81	$85.11	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $194.98 / $281.84	Facility		$41.69	$194.98	$281.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $234.42	Professional		$208.93	$208.93	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $151.36	Facility		$33.11	$44.67	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $288.40	Professional		$20.42	$29.51	$288.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $120.23	Professional		$61.66	$89.13	$120.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $165.96 / $165.96	Facility		$75.86	$165.96	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $173.78 / $288.40	Professional		$23.44	$173.78	$288.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $213.80	Professional		$87.10	$125.89	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $41.69	Facility		$30.90	$30.90	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.54 / $67.61	Professional		$14.79	$27.54	$67.61