Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $37.15 / $45.71	Facility		$19.05	$37.15	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $64.57	Professional		$12.02	$14.13	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $44.67 / $45.71	Facility		$35.48	$44.67	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $66.07	Professional		$8.13	$8.13	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $85.11	Facility		$45.71	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $51.29	Professional		$19.05	$23.99	$51.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $36.31 / $131.83	Facility		$14.79	$36.31	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.49 / $79.43	Facility		$13.18	$15.49	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $38.02	Professional		$10.00	$13.80	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $64.57	Professional		$16.60	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $89.13	Professional		$21.38	$42.66	$89.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $79.43	Facility		$33.11	$33.11	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $16.22	Professional		$8.71	$10.96	$16.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $54.95	Professional		$35.48	$35.48	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $91.20	Professional		$54.95	$54.95	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $19.95	Facility		$12.59	$14.79	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.49 / $40.74	Professional		$8.32	$13.49	$40.74