Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $13,182.57	Facility		$51.29	$97.72	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $51.29 / $4,365.16	Professional		$50.12	$51.29	$4,365.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $112.20	Facility		$63.10	$63.10	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $64.57	Professional		$50.12	$50.12	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $75.86	Facility		$70.79	$70.79	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $134.90	Facility		$50.12	$58.88	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $93.33	Professional		$51.29	$64.57	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $51.29 / $51.29	Facility		$37.15	$51.29	$51.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $102.33	Professional		$75.86	$102.33	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $50.12	Facility		$37.15	$50.12	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $102.33	Professional		$50.12	$56.23	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $151.36	Professional		$50.12	$50.12	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $251.19	Facility		$50.12	$50.12	$251.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $81.28	Professional		$67.61	$67.61	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $50.12	Facility		$48.98	$48.98	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $75.86	Professional		$50.12	$56.23	$75.86