Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $48.98 / $107.15	Facility		$28.84	$48.98	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $169.82	Professional		$30.20	$51.29	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $81.28 / $154.88	Professional		$46.77	$81.28	$154.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.90 / $70.79	Facility		$28.18	$38.90	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $123.03	Professional		$46.77	$74.13	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $316.23	Facility		$158.49	$213.80	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $169.82	Professional		$57.54	$104.71	$169.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $81.28	Facility		$33.88	$50.12	$81.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $147.91	Professional		$61.66	$100.00	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $50.12 / $81.28	Facility		$34.67	$50.12	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $144.54 / $398.11	Professional		$69.18	$144.54	$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 $47.86 / $81.28 / $144.54	Professional		$47.86	$81.28	$144.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $257.04	Facility		$75.86	$75.86	$257.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $302.00 / $398.11	Professional		$51.29	$302.00	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $123.03	Professional		$48.98	$85.11	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $83.18 / $158.49	Professional		$47.86	$83.18	$158.49