Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $79.43	Facility		$40.74	$40.74	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $147.91	Professional		$19.50	$39.81	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $102.33	Professional		$21.88	$34.67	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $21.38 / $63.10	Facility		$15.85	$21.38	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $46.77	Professional		$20.89	$22.91	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $102.33	Facility		$54.95	$64.57	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $61.66 / $75.86	Professional		$31.62	$61.66	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.90 / $93.33	Facility		$19.95	$38.90	$93.33
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $50.12 / $66.07	Professional		$38.02	$50.12	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $42.66 / $102.33	Facility		$20.89	$42.66	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $251.19	Professional		$23.99	$43.65	$251.19
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 $26.92 / $48.98 / $169.82	Professional		$26.92	$48.98	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $134.90 / $134.90	Facility		$48.98	$134.90	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $109.65 / $251.19	Professional		$31.62	$109.65	$251.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $144.54	Professional		$91.20	$114.82	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $36.31 / $87.10	Professional		$22.39	$36.31	$87.10