Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $44.67 / $162.18	Facility		$13.49	$44.67	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $22.39	Professional		$7.08	$8.71	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $26.92	Facility		$20.89	$26.30	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $38.90	Professional		$4.79	$4.79	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $26.92 / $27.54	Facility		$6.61	$26.92	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $50.12	Facility		$26.92	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $30.20	Professional		$11.22	$13.80	$30.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $21.38 / $77.62	Facility		$8.71	$21.38	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.33 / $89.13	Facility		$7.76	$9.33	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.94 / $21.88	Professional		$5.89	$7.94	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $32.36 / $64.57	Professional		$9.77	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $72.44	Professional		$12.59	$24.55	$72.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $100.00	Facility		$19.50	$19.50	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.31 / $9.33	Professional		$5.13	$6.31	$9.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $20.89	Professional		$16.60	$16.60	$20.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $28.18 / $56.23	Professional		$16.60	$28.18	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.71 / $11.75	Facility		$7.24	$8.71	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.94 / $23.99	Professional		$4.90	$7.94	$23.99