Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $46.77 / $56.23	Facility		$20.89	$46.77	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $74.13	Professional		$20.89	$28.18	$74.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $56.23 / $56.23 / $56.23	Professional	25	$56.23	$56.23	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $72.44	Professional		$26.30	$36.31	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $43.65	Facility		$23.99	$31.62	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $63.10	Professional		$27.54	$38.02	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $91.20 / $144.54	Facility		$69.18	$91.20	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $85.11	Professional		$28.84	$54.95	$85.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.92 / $48.98	Facility		$20.89	$26.92	$48.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $77.62	Professional		$38.90	$57.54	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $53.70	Facility		$20.89	$27.54	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $181.97	Professional		$30.20	$51.29	$181.97
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 $33.88 / $56.23 / $93.33	Professional		$33.88	$56.23	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $158.49	Facility		$47.86	$47.86	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $61.66 / $181.97	Professional		$26.92	$61.66	$181.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $60.26	Professional		$37.15	$50.12	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $66.07	Professional		$26.30	$37.15	$66.07