Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $70.79 / $147.91	Facility		$22.39	$70.79	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $30.20	Professional		$6.03	$7.08	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.88 / $22.39	Facility		$17.38	$21.88	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $32.36	Professional		$6.03	$6.03	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $22.91 / $22.91	Facility		$5.50	$22.91	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $41.69	Facility		$22.39	$26.30	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $25.70	Professional		$9.55	$11.75	$25.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $17.78 / $64.57	Facility		$7.24	$17.78	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $70.79 / $114.82	Facility		$7.24	$70.79	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.55 / $18.20	Professional		$4.90	$9.55	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $22.39 / $64.57	Professional		$8.13	$22.39	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.89 / $52.48	Professional		$10.23	$20.89	$52.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $100.00	Facility		$16.22	$16.22	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.37 / $8.13	Professional		$4.37	$5.37	$8.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $32.36	Professional		$17.38	$17.38	$32.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $51.29	Professional		$32.36	$41.69	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $7.24 / $9.77	Facility		$6.17	$7.24	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $8.13 / $20.42	Professional		$4.90	$8.13	$20.42