Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $346.74 / $489.78	Facility		$25.70	$346.74	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $40.74 / $109.65	Professional		$21.88	$40.74	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $53.70 / $128.82	Professional		$24.55	$53.70	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $54.95	Professional		$40.74	$44.67	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $134.90 / $158.49	Facility		$79.43	$134.90	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $61.66 / $114.82	Professional		$20.42	$61.66	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $123.03	Facility		$23.99	$47.86	$123.03
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $120.23	Professional		$42.66	$66.07	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $69.18 / $1,659.59	Facility		$25.70	$69.18	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $45.71 / $173.78	Professional		$23.99	$45.71	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $77.62 / $151.36	Professional		$42.66	$77.62	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $269.15 / $269.15	Facility		$54.95	$269.15	$269.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $47.86 / $380.19	Professional		$17.78	$47.86	$380.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $83.18 / $154.88	Professional		$20.89	$83.18	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $30.20 / $79.43	Professional		$10.96	$30.20	$79.43