Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $44.67	Professional		$19.05	$26.92	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $70.79	Professional		$6.03	$6.03	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $58.88 / $60.26	Facility		$24.55	$58.88	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $79.43	Facility		$42.66	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $74.13	Professional		$19.50	$25.12	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $43.65	Facility		$13.80	$13.80	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $112.20	Facility		$13.80	$13.80	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $41.69	Professional		$11.22	$13.80	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $79.43	Professional		$30.90	$54.95	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $151.36	Facility		$50.12	$50.12	$151.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.49 / $19.50	Facility		$12.02	$13.49	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $43.65	Professional		$10.00	$13.80	$43.65