Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $144.54 / $245.47	Facility		$46.77	$144.54	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $70.79	Professional		$12.02	$15.85	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $45.71 / $46.77	Facility		$37.15	$45.71	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $64.57	Professional		$7.24	$7.24	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $42.66 / $43.65	Facility		$9.55	$42.66	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $87.10	Facility		$46.77	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $53.70	Professional		$19.95	$24.55	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $34.67 / $117.49	Facility		$13.18	$34.67	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $125.89 / $275.42	Facility		$13.80	$125.89	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $33.11	Professional		$10.00	$12.02	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $32.36 / $85.11	Professional		$8.51	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $39.81 / $58.88	Professional		$21.88	$39.81	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $81.28	Facility		$34.67	$34.67	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $30.90	Professional		$9.12	$9.12	$30.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $36.31	Professional		$14.79	$14.79	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $93.33	Professional		$14.79	$14.79	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.80 / $20.42	Facility		$10.96	$13.80	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $12.02 / $35.48	Professional		$7.24	$12.02	$35.48