Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $436.52 / $1,905.46	Facility		$33.11	$436.52	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.84 / $97.72	Professional		$28.18	$28.84	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $107.15	Professional		$30.20	$30.20	$107.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $89.13 / $147.91	Facility		$30.90	$89.13	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $69.18	Professional		$30.90	$43.65	$69.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $30.90 / $36.31	Facility		$22.91	$30.90	$36.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $141.25 / $151.36	Professional		$36.31	$141.25	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $794.33	Facility		$22.91	$33.88	$794.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $162.18	Professional		$30.20	$30.20	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $54.95 / $85.11	Professional		$17.38	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $72.44 / $107.15	Professional		$1.32	$72.44	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $107.15	Facility		$30.90	$30.90	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.02 / $162.18	Professional		$30.90	$38.02	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $40.74	Professional		$30.20	$30.20	$40.74