Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $39.81 / $43.65	Facility		$22.91	$39.81	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $91.20	Professional		$20.89	$28.18	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $77.62	Professional		$26.30	$36.31	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $44.67	Facility		$23.99	$31.62	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $60.26	Professional		$27.54	$33.11	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $138.04	Facility		$66.07	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $74.13	Professional		$24.55	$32.36	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.18 / $51.29	Facility		$23.44	$28.18	$51.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $74.13	Professional		$40.74	$57.54	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.84 / $69.18	Facility		$23.44	$28.84	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $177.83	Professional		$28.18	$47.86	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $56.23 / $83.18	Professional		$31.62	$56.23	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $1,380.38	Facility		$52.48	$52.48	$1,380.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $51.29 / $177.83	Professional		$24.55	$51.29	$177.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $33.88	Professional		$30.90	$30.90	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $57.54	Professional		$33.88	$44.67	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $61.66	Professional		$26.30	$36.31	$61.66