Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $173.78 / $239.88	Facility		$41.69	$173.78	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $64.57	Professional		$13.80	$16.60	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50.12 / $51.29	Facility		$39.81	$50.12	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.80 / $74.13	Professional		$13.49	$13.80	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $51.29 / $52.48	Facility		$12.30	$51.29	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $60.26 / $95.50	Facility		$51.29	$60.26	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $57.54	Professional		$20.89	$26.30	$57.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $40.74 / $147.91	Facility		$16.60	$40.74	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $74.13 / $194.98	Facility		$16.60	$74.13	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $41.69	Professional		$10.72	$15.14	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $33.11 / $66.07	Professional		$9.33	$33.11	$66.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $165.96	Professional		$23.44	$46.77	$165.96
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $100.00	Facility		$37.15	$37.15	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.30 / $18.20	Professional		$9.77	$12.30	$18.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $39.81	Professional		$31.62	$31.62	$39.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $100.00	Professional		$31.62	$31.62	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.60 / $22.39	Facility		$14.13	$16.60	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.14 / $45.71	Professional		$7.76	$15.14	$45.71