Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $30.90 / $38.02	Facility		$15.85	$30.90	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $19.50	Professional		$10.00	$12.02	$19.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $37.15 / $38.02	Facility		$29.51	$37.15	$38.02
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 $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $70.79	Facility		$38.02	$44.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.95 / $42.66	Professional		$16.22	$19.95	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.20 / $93.33	Facility		$12.30	$30.20	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $81.28	Facility		$10.96	$12.88	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $28.84	Professional		$7.94	$9.77	$28.84
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 / $35.48 / $81.28	Professional		$17.78	$35.48	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $81.28	Facility		$27.54	$27.54	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $13.49	Professional		$7.24	$9.12	$13.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $54.95	Professional		$29.51	$29.51	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $85.11	Professional		$46.77	$58.88	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.30 / $16.60	Facility		$10.47	$12.30	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $30.90	Professional		$6.92	$9.77	$30.90