Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $37.15 / $39.81	Facility		$15.85	$37.15	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $15.85	Professional		$10.00	$12.02	$15.85
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 / $7.41 / $7.41	Facility		$7.41	$7.41	$7.41
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 / $12.30 / $29.51	Facility		$10.72	$12.30	$29.51
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 $6.76 / $20.42 / $85.11	Professional		$6.76	$20.42	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $47.86	Professional		$17.78	$34.67	$47.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $64.57	Facility		$26.92	$26.92	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $8.51	Professional		$7.24	$7.24	$8.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $28.84	Professional		$13.80	$13.80	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $53.70 / $74.13	Professional		$13.80	$53.70	$74.13
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 / $10.96 / $30.20	Professional		$6.76	$10.96	$30.20