Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $144.54 / $208.93	Facility		$40.74	$144.54	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $47.86	Professional		$10.96	$13.18	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $40.74	Facility		$31.62	$39.81	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $58.88	Professional		$7.24	$7.24	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $40.74 / $41.69	Facility		$10.00	$40.74	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $75.86	Facility		$40.74	$47.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $45.71	Professional		$16.98	$21.38	$45.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $32.36 / $117.49	Facility		$13.18	$32.36	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $97.72 / $158.49	Facility		$13.18	$97.72	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $36.31	Professional		$8.51	$12.02	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $64.57	Professional		$14.79	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $128.82	Professional		$19.05	$37.15	$128.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $100.00	Facility		$29.51	$29.51	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.55 / $14.45	Professional		$7.76	$9.55	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $31.62	Professional		$24.55	$24.55	$31.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $87.10	Professional		$24.55	$24.55	$87.10
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 $6.17 / $12.02 / $36.31	Professional		$6.17	$12.02	$36.31