Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $89.13	Facility		$45.71	$45.71	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $45.71 / $204.17	Professional		$22.91	$45.71	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $114.82	Professional		$24.55	$37.15	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $24.55 / $72.44	Facility		$18.20	$24.55	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $53.70	Professional		$23.99	$26.30	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $74.13 / $117.49	Facility		$63.10	$74.13	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $70.79 / $85.11	Professional		$36.31	$70.79	$85.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.48 / $91.20	Facility		$22.91	$35.48	$91.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $74.13	Professional		$43.65	$57.54	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $44.67 / $128.82	Facility		$22.91	$44.67	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $51.29 / $389.05	Professional		$26.30	$51.29	$389.05
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 $30.20 / $56.23 / $109.65	Professional		$30.20	$56.23	$109.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $162.18 / $162.18	Facility		$56.23	$162.18	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $125.89 / $389.05	Professional		$36.31	$125.89	$389.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $128.82 / $165.96	Professional		$48.98	$128.82	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $95.50	Professional		$25.70	$41.69	$95.50