Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $72.44 / $123.03	Facility		$35.48	$72.44	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.45 / $50.12	Professional		$12.88	$14.45	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $43.65	Facility		$33.88	$42.66	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $63.10	Professional		$7.94	$7.94	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $44.67 / $44.67	Facility		$10.72	$44.67	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $83.18	Facility		$43.65	$51.29	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $50.12	Professional		$18.20	$22.91	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $34.67 / $125.89	Facility		$14.13	$34.67	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.42 / $120.23	Facility		$13.18	$20.42	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.05 / $35.48	Professional		$9.55	$19.05	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.90 / $64.57	Professional		$15.85	$30.90	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $56.23	Professional		$20.42	$38.90	$56.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $75.86	Facility		$31.62	$31.62	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.47 / $12.59	Professional		$8.51	$10.47	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $33.88	Professional		$21.88	$21.88	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $87.10	Professional		$21.88	$31.62	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $19.05	Facility		$12.02	$14.13	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.85 / $35.48	Professional		$9.55	$15.85	$35.48