Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $87.10 / $134.90	Facility		$31.62	$87.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.49 / $37.15	Professional		$13.80	$15.49	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $56.23 / $57.54	Facility		$45.71	$56.23	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $74.13	Professional		$8.51	$8.51	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $52.48 / $53.70	Facility		$11.48	$52.48	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $107.15	Facility		$57.54	$67.61	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $66.07	Professional		$24.55	$30.20	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $42.66 / $123.03	Facility		$13.80	$42.66	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $23.99 / $85.11	Facility		$13.80	$23.99	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $56.23	Professional		$10.47	$12.88	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $32.36 / $64.57	Professional		$17.78	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $53.70 / $69.18	Professional		$26.92	$53.70	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $100.00	Facility		$42.66	$42.66	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.47 / $15.14	Professional		$10.23	$10.47	$15.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Professional		$36.31	$36.31	$44.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $66.07 / $117.49	Professional		$36.31	$66.07	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $16.98 / $25.12	Facility		$11.75	$16.98	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $40.74	Professional		$8.91	$12.88	$40.74