Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $95.50 / $162.18	Facility		$40.74	$95.50	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $53.70	Professional		$7.08	$8.71	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $26.92	Facility		$20.89	$26.30	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $38.90	Professional		$7.24	$7.24	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $26.92 / $27.54	Facility		$6.46	$26.92	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $50.12	Facility		$26.92	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $30.20	Professional		$11.22	$13.80	$30.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $21.38 / $77.62	Facility		$8.51	$21.38	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $81.28 / $144.54	Facility		$11.75	$81.28	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.51 / $31.62	Professional		$5.75	$8.51	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $32.36 / $64.57	Professional		$9.77	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $74.13	Professional		$12.59	$24.55	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $100.00	Facility		$19.50	$19.50	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.31 / $9.33	Professional		$5.13	$6.31	$9.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $20.89	Professional		$15.14	$15.14	$20.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $52.48	Professional		$15.14	$15.14	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $8.71 / $11.75	Facility		$4.90	$8.71	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.94 / $26.92	Professional		$4.90	$7.94	$26.92