Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $100.00 / $154.88	Facility		$28.18	$100.00	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.48 / $79.43	Professional		$10.00	$11.48	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $34.67	Facility		$26.92	$33.88	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $50.12	Professional		$6.17	$6.17	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $34.67 / $35.48	Facility		$8.51	$34.67	$35.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $64.57	Facility		$33.88	$39.81	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $38.90	Professional		$14.45	$18.20	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $27.54 / $100.00	Facility		$11.22	$27.54	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.88 / $117.49	Facility		$10.00	$12.88	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.47 / $28.84	Professional		$7.41	$10.47	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $64.57	Professional		$19.05	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $131.83	Professional		$16.22	$32.36	$131.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $100.00	Facility		$25.12	$25.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $12.30	Professional		$6.61	$8.32	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $26.92	Professional		$24.55	$24.55	$26.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $51.29 / $77.62	Professional		$24.55	$51.29	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.22 / $15.14	Facility		$9.55	$11.22	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.23 / $30.90	Professional		$5.25	$10.23	$30.90