Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $52.48 / $1,096.48	Professional		$19.95	$52.48	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $89.13 / $177.83	Professional		$19.95	$89.13	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.30 / $33.88	Facility		$20.42	$26.30	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $45.71	Professional		$19.50	$22.91	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $87.10 / $128.82	Facility		$77.62	$87.10	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $42.66 / $77.62	Professional		$28.84	$42.66	$77.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $27.54 / $75.86	Facility		$19.95	$27.54	$75.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $67.61	Professional		$61.66	$61.66	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $151.36	Facility		$19.95	$28.18	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $48.98 / $478.63	Professional		$20.42	$48.98	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $79.43	Professional		$39.81	$54.95	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $151.36	Facility		$89.13	$89.13	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $223.87 / $489.78	Professional		$42.66	$223.87	$489.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $134.90	Professional		$30.20	$64.57	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $25.70 / $79.43	Professional		$16.22	$25.70	$79.43