Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $29.51 / $36.31	Facility		$15.85	$29.51	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $15.85	Professional		$7.94	$10.00	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $35.48 / $36.31	Facility		$28.84	$35.48	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $44.67	Professional		$5.37	$5.37	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Facility		$7.76	$7.76	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $43.65 / $69.18	Facility		$37.15	$43.65	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $41.69	Professional		$15.14	$19.05	$41.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $25.70 / $41.69	Facility		$4.57	$25.70	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $12.02 / $100.00	Facility		$4.57	$12.02	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.94 / $20.89	Professional		$3.98	$7.94	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $18.20 / $64.57	Professional		$6.61	$18.20	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $46.77	Professional		$17.38	$33.88	$46.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $5.01	Professional		$3.47	$3.47	$5.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $28.18	Professional		$5.37	$5.37	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $20.42 / $72.44	Professional		$5.37	$20.42	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $10.72 / $15.85	Facility		$6.61	$10.72	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $7.94 / $23.99	Professional		$4.27	$7.94	$23.99