Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.90 / $79.43	Facility		$21.88	$38.90	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $26.92	Professional		$14.13	$16.98	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $52.48	Facility		$40.74	$51.29	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $75.86	Professional		$9.33	$9.33	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $97.72	Facility		$52.48	$61.66	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $58.88	Professional		$21.88	$27.54	$58.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $41.69 / $151.36	Facility		$16.98	$41.69	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $19.05 / $100.00	Facility		$15.14	$19.05	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $46.77	Professional		$11.22	$15.49	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $67.61	Professional		$19.05	$37.15	$67.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $48.98 / $169.82	Professional		$24.55	$48.98	$169.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $100.00	Facility		$38.02	$38.02	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $18.62	Professional		$10.00	$12.59	$18.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $56.23	Professional		$40.74	$40.74	$56.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $117.49	Professional		$56.23	$91.20	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.98 / $22.91	Facility		$14.45	$16.98	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $46.77	Professional		$9.55	$15.14	$46.77