Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $162.18	Facility		$19.95	$36.31	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $87.10	Professional		$10.00	$12.02	$87.10
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 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
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 $11.75 / $28.84 / $104.71	Facility		$11.75	$28.84	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.88 / $67.61	Facility		$10.72	$12.88	$67.61
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 $13.18 / $33.11 / $85.11	Professional		$13.18	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $91.20	Professional		$17.38	$33.88	$91.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $67.61	Facility		$26.30	$26.30	$67.61
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 $18.62 / $18.62 / $28.18	Professional		$18.62	$18.62	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $67.61 / $81.28	Professional		$18.62	$67.61	$81.28
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 $5.62 / $10.72 / $33.11	Professional		$5.62	$10.72	$33.11