Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $97.72	Professional		$20.89	$26.30	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $53.70 / $144.54	Professional		$13.18	$53.70	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $81.28	Facility		$26.30	$35.48	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.84 / $37.15	Professional		$26.30	$28.84	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $97.72 / $144.54	Facility		$85.11	$97.72	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $29.51 / $81.28	Professional		$13.80	$29.51	$81.28
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $79.43	Facility		$23.99	$31.62	$79.43
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $177.83	Professional		$158.49	$158.49	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $114.82	Facility		$23.99	$31.62	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $186.21	Professional		$14.79	$21.88	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $85.11	Professional		$30.20	$58.88	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $93.33	Professional		$45.71	$61.66	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $125.89	Facility		$61.66	$61.66	$125.89
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $131.83 / $190.55	Professional		$13.80	$131.83	$190.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $56.23	Professional		$47.86	$47.86	$56.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $144.54 / $181.97	Professional		$54.95	$144.54	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.05 / $58.88	Professional		$11.22	$19.05	$58.88