Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $123.03 / $213.80	Facility		$28.84	$123.03	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $72.44	Professional		$10.00	$11.75	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $34.67 / $35.48	Facility		$27.54	$34.67	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.55 / $51.29	Professional		$9.33	$9.55	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $35.48 / $36.31	Facility		$8.51	$35.48	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $66.07	Facility		$35.48	$40.74	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $44.67	Professional		$14.79	$18.62	$44.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $28.18 / $102.33	Facility		$11.48	$28.18	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $15.49 / $109.65	Facility		$10.23	$15.49	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.14 / $28.84	Professional		$7.76	$15.14	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $26.30 / $64.57	Professional		$10.96	$26.30	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $138.04	Professional		$16.60	$33.11	$138.04
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $100.00	Facility		$25.70	$25.70	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $12.59	Professional		$6.76	$8.51	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $27.54	Professional		$18.20	$18.20	$27.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $43.65 / $70.79	Professional		$18.20	$43.65	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.48 / $15.49	Facility		$9.77	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.88 / $32.36	Professional		$7.76	$12.88	$32.36