Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $234.42	Facility		$50.12	$50.12	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $61.66	Professional		$20.89	$45.71	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $51.29 / $154.88	Professional		$31.62	$51.29	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $75.86 / $85.11	Facility		$56.23	$75.86	$85.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $58.88	Professional		$56.23	$56.23	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $169.82 / $223.87	Facility		$64.57	$169.82	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $186.21	Professional		$53.70	$77.62	$186.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $125.89	Facility		$34.67	$50.12	$125.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $177.83	Professional		$97.72	$117.49	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $281.84	Facility		$38.90	$64.57	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $51.29 / $407.38	Professional		$27.54	$51.29	$407.38
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 $67.61 / $117.49 / $194.98	Professional		$67.61	$117.49	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $144.54 / $407.38	Facility		$64.57	$144.54	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $263.03 / $407.38	Professional		$57.54	$263.03	$407.38
Security Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $120.23 / $173.78	Professional		$45.71	$120.23	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $81.28	Professional		$26.92	$51.29	$81.28