Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $158.49 / $331.13	Facility		$67.61	$158.49	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $83.18	Professional		$52.48	$54.95	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $186.21	Professional		$56.23	$56.23	$186.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $63.10 / $83.18	Facility		$47.86	$63.10	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $186.21 / $309.03	Facility		$56.23	$186.21	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $87.10 / $117.49	Professional		$56.23	$87.10	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $57.54 / $134.90	Facility		$53.70	$57.54	$134.90
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $131.83 / $141.25	Professional		$64.57	$131.83	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $186.21 / $501.19	Facility		$56.23	$186.21	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $251.19	Professional		$56.23	$56.23	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $85.11	Professional		$50.12	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $131.83 / $194.98	Professional		$1.95	$131.83	$194.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $199.53	Facility		$56.23	$56.23	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $302.00	Professional		$56.23	$70.79	$302.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $239.88	Professional		$70.79	$114.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $85.11	Professional		$56.23	$56.23	$85.11