Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $40.74 / $181.97	Facility		$16.98	$40.74	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $16.98	Professional		$10.96	$12.02	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $39.81 / $40.74	Facility		$32.36	$39.81	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $48.98	Professional		$7.41	$7.41	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $77.62	Facility		$41.69	$48.98	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $46.77	Professional		$16.98	$21.38	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $28.18 / $44.67	Facility		$13.18	$28.18	$44.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $91.20	Facility		$11.75	$14.13	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $8.91 / $22.91	Professional		$4.37	$8.91	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $19.95 / $64.57	Professional		$7.76	$19.95	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $74.13	Professional		$19.50	$38.02	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $91.20	Facility		$29.51	$29.51	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $14.79	Professional		$7.94	$9.77	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $93.33	Professional		$31.62	$31.62	$93.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $93.33 / $93.33	Professional		$22.39	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.18 / $17.78	Facility		$11.22	$13.18	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $8.91 / $28.84	Professional		$4.68	$8.91	$28.84