Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $112.20 / $173.78	Facility		$30.90	$112.20	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $48.98 / $112.20	Professional		$30.90	$48.98	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $38.90	Professional		$31.62	$31.62	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $58.88 / $102.33	Facility		$33.11	$58.88	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $46.77	Professional		$28.84	$36.31	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $34.67 / $45.71	Facility		$23.99	$34.67	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $34.67 / $158.49	Facility		$23.99	$34.67	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $47.86	Professional		$30.20	$33.88	$47.86
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 $28.84 / $54.95 / $74.13	Professional		$28.84	$54.95	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $85.11 / $104.71	Facility		$33.11	$85.11	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $47.86	Professional		$38.90	$38.90	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $52.48	Professional		$30.90	$34.67	$52.48