Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $89.13 / $194.98	Facility		$27.54	$89.13	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $22.39	Professional		$8.91	$10.96	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.11 / $33.88	Facility		$26.92	$33.11	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $43.65	Professional		$6.17	$6.17	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $34.67 / $34.67	Facility		$8.51	$34.67	$34.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $64.57	Facility		$33.88	$39.81	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $38.90	Professional		$14.13	$17.38	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.92 / $81.28	Facility		$10.96	$26.92	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $112.20	Facility		$10.23	$14.79	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.71 / $34.67	Professional		$6.31	$8.71	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $33.11 / $64.57	Professional		$12.30	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $123.03	Professional		$15.85	$31.62	$123.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $100.00	Facility		$24.55	$24.55	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.13 / $12.02	Professional		$6.61	$8.13	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $27.54	Professional		$26.30	$26.30	$27.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $72.44	Professional		$27.54	$27.54	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.96 / $14.79	Facility		$9.33	$10.96	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $27.54	Professional		$6.03	$8.71	$27.54