Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $36.31 / $44.67	Facility		$19.05	$36.31	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $20.42	Professional		$12.02	$14.13	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $43.65 / $44.67	Facility		$34.67	$43.65	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $64.57	Professional		$7.94	$7.94	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $83.18	Facility		$43.65	$51.29	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $50.12	Professional		$18.62	$23.44	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $35.48 / $128.82	Facility		$14.45	$35.48	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.14 / $114.82	Facility		$12.88	$15.14	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $36.31	Professional		$9.55	$13.18	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $64.57	Professional		$16.22	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $107.15	Professional		$20.42	$40.74	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $114.82	Facility		$33.11	$33.11	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $15.85	Professional		$8.51	$10.72	$15.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $34.67	Professional		$29.51	$29.51	$34.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $93.33	Professional		$29.51	$29.51	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.45 / $19.50	Facility		$12.30	$14.45	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $13.18 / $39.81	Professional		$6.76	$13.18	$39.81