Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $52.48 / $104.71	Facility		$13.49	$52.48	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.02 / $33.11	Professional		$2.24	$3.02	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.51 / $8.71	Facility		$6.76	$8.51	$8.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $12.59	Professional		$2.34	$2.34	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $8.91 / $8.91	Facility		$1.86	$8.91	$8.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $3.16	Professional		$3.16	$3.16	$3.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.47 / $16.98	Facility		$8.91	$10.47	$16.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.68 / $10.96	Professional		$3.72	$4.68	$10.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $6.92 / $25.12	Facility		$2.82	$6.92	$25.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $44.67 / $95.50	Facility		$8.91	$44.67	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $4.37 / $28.18	Professional		$1.91	$4.37	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $11.22 / $64.57	Professional		$3.16	$11.22	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $7.76 / $19.95	Professional		$3.89	$7.76	$19.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $60.26	Facility		$6.31	$6.31	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.14 / $3.16	Professional		$1.70	$2.14	$3.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $10.23	Professional		$6.76	$6.76	$10.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $17.38	Professional		$10.23	$10.23	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $2.82 / $3.80	Facility		$1.58	$2.82	$3.80
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.16 / $8.51	Professional		$1.91	$3.16	$8.51