Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $147.91 / $316.23	Facility		$37.15	$147.91	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $89.13	Professional		$8.91	$10.47	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $36.31 / $37.15	Facility		$28.84	$36.31	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.00 / $53.70	Professional		$9.77	$10.00	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $37.15 / $38.02	Facility		$8.32	$37.15	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $43.65 / $69.18	Facility		$37.15	$43.65	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.88 / $47.86	Professional		$15.14	$21.88	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $29.51 / $107.15	Facility		$8.91	$29.51	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $134.90 / $213.80	Facility		$16.22	$134.90	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.49 / $102.33	Professional		$7.94	$13.49	$102.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $64.57	Professional		$13.49	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $74.13	Professional		$17.38	$33.88	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $100.00	Facility		$26.92	$26.92	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.48 / $21.88	Professional		$7.08	$11.48	$21.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $28.18	Professional		$18.20	$18.20	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $72.44	Professional		$18.20	$18.20	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.02 / $16.22	Facility		$6.76	$12.02	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.72 / $36.31	Professional		$6.03	$10.72	$36.31