Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $67.61 / $7,244.36	Facility		$46.77	$67.61	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $8,511.38	Professional		$44.67	$79.43	$8,511.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $102.33	Facility		$56.23	$56.23	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $57.54	Professional		$45.71	$45.71	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $66.07	Facility		$63.10	$63.10	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $51.29 / $107.15	Facility		$45.71	$51.29	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $83.18	Professional		$45.71	$57.54	$83.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $44.67 / $44.67	Facility		$21.38	$44.67	$44.67
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $89.13 / $89.13	Professional		$12.30	$89.13	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $40.74 / $40.74	Facility		$21.38	$40.74	$40.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $64.57	Professional		$40.74	$40.74	$64.57
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 $45.71 / $50.12 / $144.54	Professional		$45.71	$50.12	$144.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $223.87	Facility		$45.71	$45.71	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $69.18	Professional		$46.77	$56.23	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $45.71	Facility		$39.81	$39.81	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $61.66	Professional		$45.71	$45.71	$61.66