Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $39.81 / $48.98	Facility		$20.89	$39.81	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $20.89	Professional		$12.88	$15.14	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $47.86 / $48.98	Facility		$38.02	$47.86	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $70.79	Professional		$8.71	$8.71	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $56.23 / $91.20	Facility		$48.98	$56.23	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $54.95	Professional		$20.42	$25.70	$54.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.90 / $141.25	Facility		$15.85	$38.90	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.60 / $100.00	Facility		$14.13	$16.60	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $39.81	Professional		$10.72	$14.79	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.11 / $64.57	Professional		$17.78	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $44.67 / $95.50	Professional		$22.91	$44.67	$95.50
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $17.38	Professional		$9.33	$11.48	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $38.02	Professional		$18.20	$18.20	$38.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $89.13 / $109.65	Professional		$18.20	$89.13	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $21.38	Facility		$13.49	$15.85	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $43.65	Professional		$8.91	$14.45	$43.65