Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $114.82	Facility		$42.66	$91.20	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $95.50	Professional		$33.11	$51.29	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $125.89	Professional		$43.65	$74.13	$125.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $35.48 / $47.86	Facility		$34.67	$35.48	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $194.98 / $309.03	Facility		$165.96	$194.98	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $131.83 / $181.97	Professional		$69.18	$131.83	$181.97
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $75.86	Facility		$37.15	$50.12	$75.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $109.65 / $158.49	Professional		$69.18	$109.65	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $52.48 / $81.28	Facility		$38.90	$52.48	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $398.11	Professional		$47.86	$85.11	$398.11
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 $58.88 / $91.20 / $169.82	Professional		$58.88	$91.20	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $316.23	Facility		$93.33	$93.33	$316.23
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $398.11	Professional		$66.07	$114.82	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $128.82	Professional		$43.65	$74.13	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $354.81	Facility		$269.15	$269.15	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $63.10 / $107.15	Professional		$40.74	$63.10	$107.15