Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $114.82 / $165.96	Facility		$81.28	$114.82	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $102.33	Professional		$12.02	$12.88	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $51.29	Professional		$12.88	$12.88	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $74.13 / $97.72	Facility		$54.95	$74.13	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $295.12 / $478.63	Facility		$13.18	$295.12	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $134.90 / $186.21	Professional		$13.18	$134.90	$186.21
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.49 / $112.20	Facility		$12.59	$15.49	$112.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $316.23 / $338.84	Professional		$21.38	$316.23	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $128.82 / $645.65	Facility		$12.88	$128.82	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $100.00	Professional		$12.88	$12.88	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $54.95 / $85.11	Professional		$19.05	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.66 / $151.36 / $223.87	Professional		$0.66	$151.36	$223.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $100.00	Facility		$13.18	$13.18	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $100.00	Professional		$13.18	$16.60	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $371.54	Professional		$33.88	$47.86	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $17.78	Professional		$12.88	$12.88	$17.78