Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $70.79 / $87.10	Facility		$37.15	$70.79	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $109.65	Professional		$22.91	$37.15	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $144.54	Professional		$13.49	$13.49	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $42.66	Facility		$33.88	$33.88	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $48.98	Professional		$30.90	$31.62	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $104.71 / $169.82	Facility		$89.13	$104.71	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $52.48 / $109.65	Professional		$15.85	$52.48	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $95.50	Facility		$23.99	$38.02	$95.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $102.33	Professional		$93.33	$93.33	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $95.50	Facility		$23.99	$38.02	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.02 / $331.13	Professional		$25.70	$38.02	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $79.43 / $114.82	Professional		$57.54	$79.43	$114.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $208.93 / $208.93	Facility		$63.10	$208.93	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $165.96 / $331.13	Professional		$15.85	$165.96	$331.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $93.33 / $173.78	Professional		$18.20	$93.33	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $70.79	Professional		$19.95	$32.36	$70.79