Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $128.82 / $229.09	Facility		$30.90	$128.82	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $51.29	Professional		$10.00	$12.59	$51.29
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 / $54.95	Professional		$6.76	$6.76	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $38.02 / $38.90	Facility		$7.59	$38.02	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
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 $15.85 / $19.50 / $42.66	Professional		$15.85	$19.50	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.20 / $109.65	Facility		$12.30	$30.20	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.60 / $204.17	Facility		$11.22	$16.60	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.22 / $38.02	Professional		$8.13	$11.22	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $33.11 / $64.57	Professional		$13.80	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $74.13	Professional		$17.78	$34.67	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $95.50	Facility		$28.18	$28.18	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $13.18	Professional		$7.24	$8.91	$13.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $69.18	Professional		$29.51	$29.51	$69.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $75.86	Professional		$63.10	$69.18	$75.86
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 / $11.22 / $33.88	Professional		$6.92	$11.22	$33.88