Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $22.91	Facility		$19.95	$19.95	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $30.90	Professional		$18.20	$22.91	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $79.43	Professional		$21.88	$26.30	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $38.90 / $53.70	Facility		$28.18	$38.90	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $42.66	Professional		$38.90	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $131.83	Facility		$67.61	$89.13	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $85.11	Professional		$28.84	$41.69	$85.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.70 / $36.31	Facility		$20.89	$25.70	$36.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $60.26 / $83.18	Professional		$43.65	$60.26	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $39.81	Facility		$20.89	$26.30	$39.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $67.61 / $165.96	Professional		$29.51	$67.61	$165.96
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 $33.88 / $51.29 / $85.11	Professional		$33.88	$51.29	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $151.36	Facility		$61.66	$61.66	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $138.04 / $186.21	Professional		$28.84	$138.04	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $89.13	Professional		$33.11	$50.12	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $39.81 / $89.13	Professional		$25.70	$39.81	$89.13