Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $147.91 / $316.23	Facility		$44.67	$147.91	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $95.50	Professional		$12.02	$14.79	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $43.65 / $44.67	Facility		$34.67	$43.65	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $64.57	Professional		$8.13	$8.13	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $45.71 / $45.71	Facility		$11.22	$45.71	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $52.48 / $83.18	Facility		$44.67	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $51.29	Professional		$18.62	$23.44	$51.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $35.48 / $128.82	Facility		$14.45	$35.48	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $70.79 / $177.83	Facility		$14.45	$70.79	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $37.15	Professional		$9.55	$13.80	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $33.11 / $64.57	Professional		$16.22	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $125.89	Professional		$20.89	$41.69	$125.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $100.00	Facility		$32.36	$32.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $15.85	Professional		$8.71	$10.72	$15.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $34.67	Professional		$21.38	$21.38	$34.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $89.13	Professional		$21.38	$21.38	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.45 / $19.50	Facility		$12.30	$14.45	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.49 / $40.74	Professional		$8.13	$13.49	$40.74