Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $51.29 / $58.88	Facility		$21.88	$51.29	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $21.88	Professional		$12.88	$15.14	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50.12 / $51.29	Facility		$39.81	$50.12	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $66.07	Professional		$7.41	$7.41	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $95.50	Facility		$51.29	$60.26	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $57.54	Professional		$21.38	$26.92	$57.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $64.57 / $109.65	Facility		$11.48	$64.57	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.14 / $89.13	Facility		$11.48	$15.14	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $33.88	Professional		$9.33	$11.22	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.18 / $85.11	Professional		$14.79	$28.18	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $43.65 / $61.66	Professional		$23.99	$43.65	$61.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $89.13	Facility		$37.15	$37.15	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $9.77	Professional		$8.71	$8.71	$9.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $39.81	Professional		$18.62	$18.62	$39.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $53.70 / $102.33	Professional		$18.62	$53.70	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $22.39	Facility		$14.79	$14.79	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $36.31	Professional		$7.76	$11.22	$36.31