Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $22.91 / $30.90	Facility		$12.88	$22.91	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $12.88	Professional		$7.94	$8.91	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.20 / $30.90	Facility		$23.99	$30.20	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $44.67	Professional		$5.50	$5.50	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $35.48 / $57.54	Facility		$30.90	$35.48	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $34.67	Professional		$13.18	$16.60	$34.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $24.55 / $89.13	Facility		$10.00	$24.55	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.47 / $109.65	Facility		$8.91	$10.47	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.33 / $25.12	Professional		$6.61	$9.33	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $32.36 / $64.57	Professional		$11.22	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.84 / $43.65	Professional		$14.45	$28.84	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $109.65	Facility		$50.12	$50.12	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $10.96	Professional		$5.89	$7.41	$10.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $23.99	Professional		$11.48	$11.48	$23.99
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $51.29 / $69.18	Professional		$11.48	$51.29	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.00 / $13.49	Facility		$8.51	$10.00	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.12 / $27.54	Professional		$4.68	$9.12	$27.54