Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.90 / $47.86	Facility		$19.95	$38.90	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $19.95	Professional		$12.88	$14.13	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $47.86	Facility		$37.15	$46.77	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $54.95	Professional		$8.51	$8.51	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $89.13	Facility		$47.86	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $53.70	Professional		$20.42	$25.12	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.90 / $50.12	Facility		$15.49	$30.90	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.22 / $100.00	Facility		$13.80	$16.22	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.47 / $26.92	Professional		$5.13	$10.47	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $26.30 / $64.57	Professional		$8.51	$26.30	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $44.67 / $60.26	Professional		$22.39	$44.67	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $100.00	Facility		$34.67	$34.67	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $16.98	Professional		$9.12	$11.48	$16.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $54.95	Professional		$37.15	$37.15	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $95.50	Professional		$50.12	$54.95	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.49 / $20.89	Facility		$13.18	$15.49	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.47 / $33.88	Professional		$5.13	$10.47	$33.88