Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $234.42	Professional		$19.05	$19.05	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $70.79	Professional		$4.90	$4.90	$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 $48.98 / $56.23 / $91.20	Facility		$48.98	$56.23	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $74.13	Professional		$22.39	$28.84	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $43.65	Facility		$13.49	$13.49	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.49 / $112.20	Facility		$7.59	$13.49	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $41.69	Professional		$10.96	$14.13	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$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 $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
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 / $41.69	Professional		$10.00	$13.80	$41.69