Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $104.71 / $173.78	Facility		$19.95	$104.71	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $15.14	Professional		$7.08	$10.00	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $35.48 / $36.31	Facility		$28.18	$35.48	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $52.48	Professional		$6.61	$6.61	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $37.15 / $37.15	Facility		$7.24	$37.15	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $41.69 / $67.61	Facility		$36.31	$41.69	$67.61
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 $12.02 / $28.84 / $104.71	Facility		$12.02	$28.84	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.85 / $120.23	Facility		$10.96	$15.85	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $29.51	Professional		$7.76	$10.96	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $19.95 / $85.11	Professional		$6.61	$19.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $46.77	Professional		$17.38	$33.88	$46.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $63.10	Facility		$26.30	$26.30	$63.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $8.13	Professional		$7.08	$7.08	$8.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $28.18	Professional		$13.49	$13.49	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $72.44	Professional		$13.49	$13.49	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.75 / $15.85	Facility		$10.00	$11.75	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.96 / $29.51	Professional		$6.61	$10.96	$29.51