Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $43.65 / $204.17	Facility		$40.74	$43.65	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $131.83	Professional		$39.81	$58.88	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $51.29	Professional		$40.74	$40.74	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $134.90	Facility		$43.65	$77.62	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $61.66	Professional		$38.02	$47.86	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $40.74 / $47.86	Facility		$22.91	$40.74	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $46.77 / $147.91	Facility		$22.91	$46.77	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $63.10	Professional		$38.90	$42.66	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $54.95 / $85.11	Professional		$15.14	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $72.44 / $97.72	Professional		$38.02	$72.44	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $85.11 / $138.04	Facility		$43.65	$85.11	$138.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $109.65	Professional		$40.74	$47.86	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $64.57	Professional		$39.81	$42.66	$64.57