Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $69.18 / $851.14	Facility		$20.89	$69.18	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $9.33 / $35.48	Professional		$3.98	$9.33	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $25.70	Facility		$19.95	$25.12	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $10.23	Professional		$2.14	$2.14	$10.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $7.59 / $9.55	Facility		$1.95	$7.59	$9.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.79 / $7.08	Facility		$3.63	$4.79	$7.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $1.86 / $27.54	Professional		$1.51	$1.86	$27.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $10.96 / $19.05	Facility		$4.47	$10.96	$19.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $28.84 / $91.20	Facility		$10.96	$28.84	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.02 / $9.77	Professional		$1.82	$3.02	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $32.36 / $85.11	Professional		$1.48	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.38 / $30.90	Professional		$10.00	$21.38	$30.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $1,288.25	Facility		$18.20	$18.20	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $4.17 / $8.71	Professional		$1.45	$4.17	$8.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $24.55	Professional		$6.46	$6.46	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $26.92	Professional		$15.85	$23.44	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $19.95	Facility		$2.40	$2.40	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.02 / $9.33	Professional		$1.82	$3.02	$9.33