Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $338.84 / $707.95	Facility		$154.88	$338.84	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $20.89 / $97.72	Professional		$8.91	$20.89	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $34.67	Professional		$10.23	$13.18	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.48 / $18.62	Facility		$10.96	$11.48	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.75 / $22.91	Professional		$10.72	$11.75	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $58.88	Facility		$31.62	$37.15	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $33.11	Professional		$12.59	$24.55	$33.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.30 / $22.91	Facility		$9.77	$12.30	$22.91
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $34.67	Professional		$20.89	$23.99	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $17.38 / $151.36	Facility		$10.00	$17.38	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $89.13	Professional		$10.96	$17.38	$89.13
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 $14.79 / $29.51 / $40.74	Professional		$14.79	$29.51	$40.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.92 / $89.13	Facility		$17.78	$26.92	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.38 / $89.13	Professional		$12.02	$21.38	$89.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $43.65 / $43.65	Professional		$16.22	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $33.88	Professional		$10.96	$15.85	$33.88