Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $21.88	Facility		$19.95	$19.95	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $43.65	Professional		$16.98	$23.99	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $44.67 / $81.28	Professional		$26.30	$44.67	$81.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.81 / $70.79 / $123.03	Professional	50	$39.81	$70.79	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Facility		$21.38	$21.38	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $131.83	Facility		$107.15	$107.15	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $41.69 / $58.88	Professional		$18.62	$41.69	$58.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.99 / $37.15	Facility		$17.78	$23.99	$37.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $67.61	Professional		$35.48	$50.12	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.99 / $35.48	Facility		$17.78	$23.99	$35.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $141.25	Professional		$22.91	$35.48	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $79.43	Professional		$25.12	$48.98	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $48.98 / $154.88	Professional		$19.05	$48.98	$154.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $79.43 / $87.10	Professional		$47.86	$79.43	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $56.23	Professional		$20.89	$28.18	$56.23