Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $83.18	Facility		$28.18	$41.69	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $28.18 / $4,677.35	Professional		$26.92	$28.18	$4,677.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $61.66	Facility		$51.29	$60.26	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $50.12	Professional		$27.54	$27.54	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $39.81	Facility		$38.02	$38.02	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $31.62 / $75.86	Facility		$27.54	$31.62	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $51.29	Professional		$27.54	$35.48	$51.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $58.88	Facility		$26.92	$26.92	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $93.33	Facility		$25.12	$25.12	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $37.15	Professional		$25.12	$25.12	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $27.54 / $85.11	Professional		$25.12	$27.54	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $27.54 / $89.13	Professional		$26.92	$27.54	$89.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $223.87	Facility		$27.54	$27.54	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $77.62	Professional		$36.31	$36.31	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $44.67	Professional		$27.54	$27.54	$44.67