Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $21.38 / $77.62	Facility		$8.91	$21.38	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $30.90	Professional		$6.03	$7.08	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.38 / $21.38	Facility		$16.98	$21.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $31.62	Professional		$5.75	$5.75	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $21.88 / $22.39	Facility		$5.37	$21.88	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Professional		$7.94	$7.94	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $40.74	Facility		$21.88	$25.12	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $24.55	Professional		$9.12	$11.48	$24.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $16.98 / $63.10	Facility		$7.08	$16.98	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.59 / $70.79	Facility		$6.31	$7.59	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.46 / $17.78	Professional		$4.57	$6.46	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $27.54 / $64.57	Professional		$3.89	$27.54	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $33.11	Professional		$10.23	$20.42	$33.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $70.79	Facility		$15.85	$15.85	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.25 / $7.59	Professional		$4.17	$5.25	$7.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $16.60	Professional		$8.13	$8.13	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $37.15 / $47.86	Professional		$8.13	$37.15	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.92 / $9.33	Facility		$5.89	$6.92	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.46 / $17.78	Professional		$3.89	$6.46	$17.78