Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $281.84	Professional		$19.05	$19.05	$281.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $70.79	Professional		$5.01	$5.01	$70.79
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 $36.31 / $41.69 / $67.61	Facility		$36.31	$41.69	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $74.13	Professional		$16.60	$21.38	$74.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $43.65	Facility		$16.22	$16.22	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $16.22 / $112.20	Facility		$7.59	$16.22	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $42.66	Professional		$11.48	$14.13	$42.66
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 $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
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