Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $52.48 / $93.33	Facility		$38.02	$52.48	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $165.96	Professional		$45.71	$61.66	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $177.83	Facility		$107.15	$107.15	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $117.49	Professional		$91.20	$100.00	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $229.09	Facility		$95.50	$114.82	$229.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $239.88 / $524.81	Facility		$61.66	$239.88	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $154.88 / $204.17	Professional		$44.67	$154.88	$204.17
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $87.10 / $125.89	Facility		$53.70	$87.10	$125.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $128.82	Professional		$95.50	$117.49	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $104.71 / $478.63	Facility		$57.54	$104.71	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $57.54 / $120.23	Professional		$47.86	$57.54	$120.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $54.95 / $70.79	Professional		$22.91	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $302.00	Professional		$107.15	$162.18	$302.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $213.80 / $478.63	Facility		$61.66	$213.80	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $107.15 / $524.81	Professional		$44.67	$107.15	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $56.23 / $154.88	Facility		$44.67	$56.23	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $91.20	Professional		$37.15	$52.48	$91.20