Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.20 / $36.31	Facility		$26.92	$30.20	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $60.26	Professional		$26.92	$34.67	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $114.82	Professional		$33.11	$47.86	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $32.36 / $56.23	Facility		$22.91	$32.36	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $69.18	Professional		$26.30	$41.69	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $186.21	Facility		$95.50	$125.89	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $38.90 / $114.82	Professional		$25.70	$38.90	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.90 / $57.54	Facility		$31.62	$38.90	$57.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $87.10	Professional		$44.67	$61.66	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.90 / $58.88	Facility		$30.90	$38.90	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $218.78	Professional		$36.31	$56.23	$218.78
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 $41.69 / $64.57 / $107.15	Professional		$41.69	$64.57	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $218.78	Facility		$79.43	$79.43	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $218.78	Professional		$25.12	$38.90	$218.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $107.15 / $177.83	Professional		$38.90	$107.15	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $42.66	Facility		$36.31	$36.31	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $114.82	Professional		$34.67	$50.12	$114.82