Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $107.15	Facility		$56.23	$56.23	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $173.78	Professional		$26.92	$42.66	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $141.25	Professional		$30.20	$48.98	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.90 / $87.10	Facility		$21.88	$30.90	$87.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $66.07	Professional		$28.84	$31.62	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $89.13 / $141.25	Facility		$75.86	$89.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $104.71	Professional		$44.67	$85.11	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $40.74 / $87.10	Facility		$26.92	$40.74	$87.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $89.13	Professional		$52.48	$69.18	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $48.98 / $138.04	Facility		$26.92	$48.98	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $61.66 / $323.59	Professional		$33.88	$61.66	$323.59
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 $38.02 / $69.18 / $97.72	Professional		$38.02	$69.18	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $186.21 / $186.21	Facility		$67.61	$186.21	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $151.36 / $323.59	Professional		$43.65	$151.36	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $199.53	Professional		$117.49	$154.88	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $104.71	Professional		$32.36	$51.29	$104.71