Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $81.28	Facility		$34.67	$64.57	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $42.66	Professional		$19.05	$23.99	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $79.43 / $81.28	Facility		$63.10	$79.43	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $117.49	Professional		$11.75	$11.75	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $43.65 / $74.13	Facility		$29.51	$43.65	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $40.74	Professional		$29.51	$32.36	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $147.91	Facility		$79.43	$93.33	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $61.66 / $91.20	Professional		$33.11	$61.66	$91.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $114.82 / $165.96	Facility		$32.36	$114.82	$165.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $194.98	Professional		$173.78	$173.78	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $34.67 / $102.33	Facility		$26.30	$34.67	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $144.54	Professional		$12.30	$17.38	$144.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $50.12 / $74.13	Professional		$28.18	$50.12	$74.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $69.18 / $95.50	Professional		$50.12	$69.18	$95.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $138.04 / $138.04	Facility		$58.88	$138.04	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $144.54 / $144.54	Professional		$13.80	$144.54	$144.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $61.66	Professional		$21.38	$21.38	$61.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $83.18 / $158.49	Professional		$21.38	$83.18	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $34.67	Facility		$23.44	$23.44	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $46.77	Professional		$12.30	$17.38	$46.77