Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $60.26 / $389.05	Facility		$25.70	$60.26	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.50 / $22.91	Professional		$16.98	$19.50	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $60.26	Facility		$46.77	$58.88	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $87.10	Professional		$10.72	$10.72	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $60.26 / $61.66	Facility		$14.79	$60.26	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $69.18 / $109.65	Facility		$58.88	$69.18	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $67.61	Professional		$24.55	$30.90	$67.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $47.86 / $173.78	Facility		$19.50	$47.86	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.89 / $109.65	Facility		$17.38	$20.89	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $48.98	Professional		$12.88	$17.78	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $42.66 / $75.86	Professional		$10.96	$42.66	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $144.54	Professional		$28.18	$54.95	$144.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $123.03	Facility		$43.65	$43.65	$123.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $21.38	Professional		$11.48	$14.45	$21.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $100.00	Professional		$45.71	$45.71	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $134.90	Professional		$87.10	$109.65	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.50 / $26.30	Facility		$16.22	$19.50	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $53.70	Professional		$10.96	$17.78	$53.70