Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $72.44 / $131.83	Facility		$54.95	$72.44	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $257.04	Professional		$54.95	$114.82	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $213.80	Professional		$72.44	$107.15	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $87.10 / $138.04	Facility		$75.86	$87.10	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $81.28 / $158.49	Professional		$66.07	$81.28	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $128.82 / $204.17	Professional		$58.88	$128.82	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $154.88	Facility		$66.07	$87.10	$154.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $208.93	Professional		$141.25	$173.78	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $85.11 / $154.88	Facility		$66.07	$85.11	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $524.81	Professional		$75.86	$134.90	$524.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $85.11	Professional		$32.36	$41.69	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $165.96 / $229.09	Professional		$109.65	$165.96	$229.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $446.68 / $446.68	Facility		$131.83	$446.68	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $363.08 / $549.54	Professional		$67.61	$363.08	$549.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $218.78 / $239.88	Professional		$134.90	$218.78	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $114.82	Facility		$87.10	$87.10	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $204.17	Professional		$72.44	$114.82	$204.17