Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $131.83 / $213.80	Facility		$30.20	$131.83	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $70.79	Professional		$10.00	$12.30	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $36.31 / $37.15	Facility		$29.51	$36.31	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $54.95	Professional		$6.76	$6.76	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $38.02 / $38.90	Facility		$9.33	$38.02	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $70.79	Facility		$38.02	$44.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $42.66	Professional		$15.85	$19.50	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.51 / $109.65	Facility		$12.02	$29.51	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $112.20 / $173.78	Facility		$12.88	$112.20	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.48 / $38.02	Professional		$7.94	$11.48	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $32.36 / $64.57	Professional		$11.75	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $107.15	Professional		$17.78	$34.67	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $100.00	Facility		$27.54	$27.54	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $13.18	Professional		$7.24	$8.91	$13.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $29.51	Professional		$28.84	$28.84	$29.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $75.86	Professional		$29.51	$39.81	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.02 / $16.22	Facility		$6.76	$12.02	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $11.22 / $33.88	Professional		$5.75	$11.22	$33.88