Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $257.04 / $660.69	Facility		$60.26	$257.04	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $91.20	Professional		$7.76	$9.12	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $28.18 / $28.84	Facility		$22.91	$28.18	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $42.66	Professional		$6.03	$6.03	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $29.51 / $29.51	Facility		$6.61	$29.51	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $53.70	Facility		$28.84	$33.88	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $33.11	Professional		$12.30	$15.49	$33.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $22.91 / $85.11	Facility		$8.32	$22.91	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $173.78 / $288.40	Facility		$50.12	$173.78	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.47 / $123.03	Professional		$6.17	$10.47	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $21.88 / $64.57	Professional		$5.25	$21.88	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.92 / $40.74	Professional		$13.80	$26.92	$40.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $100.00	Facility		$20.89	$20.89	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.08 / $10.47	Professional		$5.62	$7.08	$10.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $22.39	Professional		$13.80	$13.80	$22.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $67.61	Professional		$13.80	$13.80	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $9.33 / $12.59	Facility		$5.25	$9.33	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.71 / $28.84	Professional		$5.25	$8.71	$28.84