Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $87.10 / $275.42	Facility		$21.38	$87.10	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $25.70	Professional		$10.00	$12.88	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $38.90	Facility		$30.20	$38.02	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $56.23	Professional		$6.92	$6.92	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $38.90 / $39.81	Facility		$9.33	$38.90	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $72.44	Facility		$38.90	$45.71	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $43.65	Professional		$16.60	$20.42	$43.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $30.90 / $112.20	Facility		$12.59	$30.90	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $16.98 / $204.17	Facility		$11.22	$16.98	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $38.90	Professional		$8.32	$11.75	$38.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $32.36 / $64.57	Professional		$14.13	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $69.18	Professional		$18.20	$36.31	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $204.17	Facility		$28.18	$28.18	$204.17
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $13.80	Professional		$7.41	$9.33	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $69.18	Professional		$30.20	$30.20	$69.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $69.18 / $87.10	Professional		$43.65	$69.18	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $16.98	Facility		$10.72	$12.59	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $11.48 / $34.67	Professional		$5.89	$11.48	$34.67