Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $302.00 / $302.00	Facility		$28.18	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $57.54 / $95.50	Professional		$25.12	$57.54	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $74.13 / $173.78	Professional		$26.92	$74.13	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.62 / $44.67	Facility		$24.55	$31.62	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $95.50 / $169.82	Professional		$79.43	$95.50	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $257.04 / $407.38	Facility		$194.98	$257.04	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $79.43 / $208.93	Professional		$32.36	$79.43	$208.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $66.07 / $117.49	Facility		$26.30	$66.07	$117.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.43 / $213.80	Professional		$46.77	$79.43	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $67.61 / $125.89	Facility		$26.30	$67.61	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $467.74	Professional		$75.86	$128.82	$467.74
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 $39.81 / $120.23 / $309.03	Professional		$39.81	$120.23	$309.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $263.03	Facility		$58.88	$58.88	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $100.00 / $467.74	Professional		$32.36	$100.00	$467.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $138.04 / $407.38	Professional		$63.10	$138.04	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $74.13 / $158.49	Professional		$28.18	$74.13	$158.49