Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $128.82 / $562.34	Facility		$25.12	$128.82	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.98 / $66.07	Professional		$11.75	$16.98	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $50.12	Facility		$38.90	$48.98	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $72.44	Professional		$8.91	$8.91	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $50.12 / $51.29	Facility		$12.30	$50.12	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $93.33	Facility		$50.12	$57.54	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $56.23	Professional		$20.42	$25.70	$56.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $144.54	Facility		$16.22	$39.81	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $17.38 / $87.10	Facility		$14.13	$17.38	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $50.12	Professional		$10.96	$15.14	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $33.11 / $64.57	Professional		$9.12	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $75.86	Professional		$23.44	$45.71	$75.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $87.10	Facility		$36.31	$36.31	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $17.78	Professional		$9.55	$12.02	$17.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $67.61	Professional		$38.90	$38.90	$67.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $97.72	Professional		$67.61	$67.61	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $16.22 / $21.88	Facility		$13.49	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.79 / $44.67	Professional		$9.12	$14.79	$44.67