Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $154.88 / $316.23	Facility		$20.89	$154.88	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $102.33	Professional		$10.00	$12.30	$102.33
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 $6.76 / $6.76 / $53.70	Professional		$6.76	$6.76	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $38.02 / $38.02	Facility		$7.41	$38.02	$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 $15.85 / $19.50 / $42.66	Professional		$15.85	$19.50	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.51 / $107.15	Facility		$12.02	$29.51	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.88 / $70.79	Facility		$10.72	$12.88	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.48 / $37.15	Professional		$8.13	$11.48	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $32.36 / $64.57	Professional		$6.76	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $107.15	Professional		$17.78	$34.67	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $70.79	Facility		$26.92	$26.92	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $13.18	Professional		$7.24	$8.91	$13.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $28.84	Professional		$19.50	$19.50	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.90 / $89.13	Professional		$19.50	$38.90	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.02 / $16.22	Facility		$10.23	$12.02	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.72 / $33.88	Professional		$6.76	$10.72	$33.88