Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $64.57	Facility		$38.02	$43.65	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $102.33	Professional		$22.91	$36.31	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $128.82	Professional		$33.11	$38.90	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $93.33	Facility		$43.65	$58.88	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $44.67	Professional		$43.65	$43.65	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $128.82 / $173.78	Facility		$64.57	$128.82	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $66.07 / $141.25	Professional		$40.74	$66.07	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $39.81 / $95.50	Facility		$30.20	$39.81	$95.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $134.90	Professional		$85.11	$93.33	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.23 / $173.78	Facility		$32.36	$56.23	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $309.03	Professional		$33.88	$48.98	$309.03
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 $51.29 / $104.71 / $147.91	Professional		$51.29	$104.71	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $112.20 / $309.03	Facility		$64.57	$112.20	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $239.88 / $309.03	Professional		$46.77	$239.88	$309.03
Security Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $114.82 / $134.90	Professional		$46.77	$114.82	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $79.43	Professional		$33.88	$45.71	$79.43