Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $77.62 / $128.82	Facility		$32.36	$77.62	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $93.33	Professional		$31.62	$45.71	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $43.65	Professional		$32.36	$32.36	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $60.26 / $104.71	Facility		$35.48	$60.26	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $52.48	Professional		$29.51	$37.15	$52.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $40.74	Facility		$22.91	$32.36	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $36.31 / $524.81	Facility		$22.91	$36.31	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $48.98	Professional		$30.90	$34.67	$48.98
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 $32.36 / $61.66 / $83.18	Professional		$32.36	$61.66	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $85.11 / $109.65	Facility		$35.48	$85.11	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $45.71	Professional		$37.15	$37.15	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $53.70	Professional		$31.62	$35.48	$53.70