Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $44.67	Professional		$15.49	$15.49	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $70.79	Professional		$5.62	$5.62	$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 $53.70 / $63.10 / $100.00	Facility		$53.70	$63.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $32.36 / $74.13	Professional		$24.55	$32.36	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $43.65	Facility		$18.20	$18.20	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $18.20 / $112.20	Facility		$8.13	$18.20	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $44.67	Professional		$12.02	$15.14	$44.67
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 $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
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 $10.23 / $14.45 / $44.67	Professional		$10.23	$14.45	$44.67