Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $74.13 / $147.91	Facility		$48.98	$74.13	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $48.98 / $75.86	Professional		$37.15	$48.98	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $107.15 / $109.65	Facility		$91.20	$107.15	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $60.26	Professional		$44.67	$44.67	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $75.86 / $131.83	Facility		$48.98	$75.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $128.82	Professional		$50.12	$63.10	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $109.65	Facility		$39.81	$48.98	$109.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $37.15 / $81.28	Facility		$33.88	$37.15	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $77.62	Professional		$43.65	$52.48	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $85.11	Professional		$48.98	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $89.13 / $162.18	Professional		$25.12	$89.13	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $48.98 / $117.49	Facility		$44.67	$48.98	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $66.07 / $81.28	Professional		$25.12	$66.07	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $46.77	Facility		$37.15	$37.15	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $75.86	Professional		$43.65	$48.98	$75.86