Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $48.98 / $5,754.40	Facility		$33.88	$48.98	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $2,454.71	Professional		$32.36	$33.11	$2,454.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $74.13	Facility		$40.74	$40.74	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $41.69	Professional		$33.11	$33.11	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $45.71 / $53.70	Facility		$33.88	$45.71	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $35.48 / $79.43	Professional		$33.88	$35.48	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $123.03	Facility		$33.11	$52.48	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $60.26	Professional		$33.11	$33.88	$60.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $38.02	Facility		$33.88	$33.88	$38.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $67.61 / $67.61	Professional		$38.90	$67.61	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $45.71	Facility		$34.67	$34.67	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $154.88	Professional		$34.67	$34.67	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $58.88 / $70.79	Professional		$35.48	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $109.65	Professional		$33.11	$53.70	$109.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $169.82	Facility		$33.11	$33.11	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $154.88	Professional		$33.11	$46.77	$154.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $67.61	Professional		$44.67	$53.70	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $37.15	Professional		$33.11	$33.11	$37.15