Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $120.23	Professional		$32.36	$51.29	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $147.91	Facility		$91.20	$91.20	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $102.33	Professional		$77.62	$85.11	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $107.15 / $190.55	Facility		$79.43	$107.15	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $281.84 / $446.68	Facility		$58.88	$281.84	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $128.82 / $169.82	Professional		$43.65	$128.82	$169.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $74.13 / $128.82	Facility		$44.67	$74.13	$128.82
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $120.23 / $147.91	Professional		$81.28	$120.23	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $416.87	Facility		$51.29	$89.13	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $100.00	Professional		$39.81	$57.54	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $134.90 / $251.19	Professional		$91.20	$134.90	$251.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $181.97 / $426.58	Facility		$58.88	$181.97	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $446.68	Professional		$43.65	$97.72	$446.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $63.10 / $67.61	Facility		$46.77	$63.10	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $81.28	Professional		$33.11	$44.67	$81.28