Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $69.18 / $131.83	Facility		$14.13	$69.18	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $60.26	Professional		$7.08	$8.51	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.70 / $26.30	Facility		$20.42	$25.70	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $38.02	Professional		$4.68	$4.68	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $48.98	Facility		$26.30	$30.20	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $29.51	Professional		$10.72	$13.49	$29.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $20.89 / $75.86	Facility		$8.32	$20.89	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $8.91 / $100.00	Facility		$7.41	$8.91	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.76 / $21.38	Professional		$5.50	$7.76	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $19.50 / $64.57	Professional		$4.68	$19.50	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $74.13	Professional		$12.02	$23.99	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $100.00	Facility		$19.05	$19.05	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $9.12	Professional		$5.01	$6.17	$9.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $19.95	Professional		$15.49	$15.49	$19.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $38.02 / $57.54	Professional		$15.49	$38.02	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $8.32 / $11.22	Facility		$7.08	$8.32	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.76 / $23.44	Professional		$3.98	$7.76	$23.44