Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $75.86 / $239.88	Facility		$15.14	$75.86	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $30.20	Professional		$10.00	$12.02	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $35.48 / $36.31	Facility		$28.84	$35.48	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $53.70	Professional		$6.61	$6.61	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
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 / $19.05 / $41.69	Professional		$15.14	$19.05	$41.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $107.15	Facility		$11.75	$28.84	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.59 / $66.07	Facility		$10.47	$12.59	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $30.20	Professional		$7.76	$10.96	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $32.36 / $64.57	Professional		$11.22	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $83.18	Professional		$17.38	$33.88	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $66.07	Facility		$26.30	$26.30	$66.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $13.18	Professional		$7.08	$8.91	$13.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $28.18	Professional		$17.38	$17.38	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $38.90 / $74.13	Professional		$17.38	$38.90	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $11.75 / $15.85	Facility		$6.61	$11.75	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.96 / $33.11	Professional		$5.62	$10.96	$33.11