Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $93.33	Facility		$53.70	$63.10	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $144.54	Professional		$38.90	$53.70	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $177.83	Professional		$43.65	$56.23	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $87.10 / $114.82	Facility		$64.57	$87.10	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $66.07	Professional		$64.57	$64.57	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $190.55 / $251.19	Facility		$64.57	$190.55	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $97.72 / $208.93	Professional		$58.88	$97.72	$208.93
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $56.23 / $138.04	Facility		$41.69	$56.23	$138.04
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.83 / $194.98	Professional		$123.03	$131.83	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $83.18 / $234.42	Facility		$44.67	$83.18	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $436.52	Professional		$50.12	$60.26	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $218.78	Professional		$74.13	$154.88	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $125.89 / $436.52	Facility		$64.57	$125.89	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $295.12 / $436.52	Professional		$66.07	$295.12	$436.52
Security Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $158.49 / $194.98	Professional		$69.18	$158.49	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $57.54 / $112.20	Professional		$50.12	$57.54	$112.20