Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $117.49	Professional		$20.89	$30.20	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $41.69 / $147.91	Professional		$13.18	$41.69	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.84 / $39.81	Facility		$23.44	$28.84	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.70 / $53.70	Professional		$22.39	$25.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $87.10 / $125.89	Facility		$75.86	$87.10	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $69.18	Professional		$22.39	$29.51	$69.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.18 / $72.44	Facility		$20.89	$28.18	$72.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $75.86	Professional		$67.61	$67.61	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.18 / $72.44	Facility		$20.89	$28.18	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $245.47	Professional		$20.42	$40.74	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $85.11	Professional		$41.69	$56.23	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $141.25	Facility		$47.86	$47.86	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $125.89 / $257.04	Professional		$22.39	$125.89	$257.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $123.03 / $177.83	Professional		$9.77	$123.03	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $27.54 / $61.66	Professional		$17.38	$27.54	$61.66