Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $74.13 / $125.89	Facility		$34.67	$74.13	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $74.13 / $169.82	Professional		$33.88	$74.13	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $114.82	Professional		$40.74	$63.10	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $77.62	Facility		$42.66	$48.98	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $91.20	Professional		$37.15	$45.71	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $199.53	Facility		$107.15	$123.03	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $85.11 / $144.54	Professional		$33.88	$85.11	$144.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $79.43	Facility		$30.90	$37.15	$79.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $117.49	Professional		$81.28	$93.33	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $37.15 / $81.28	Facility		$30.90	$37.15	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $323.59	Professional		$38.02	$63.10	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $120.23	Professional		$56.23	$83.18	$120.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $257.04 / $257.04	Facility		$75.86	$257.04	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $144.54 / $323.59	Professional		$38.90	$144.54	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $117.49 / $162.18	Professional		$75.86	$117.49	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $114.82	Professional		$38.02	$57.54	$114.82