Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $97.72 / $186.21	Facility		$19.95	$97.72	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $15.85	Professional		$7.94	$10.23	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $31.62	Facility		$24.55	$30.90	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $45.71	Professional		$5.62	$5.62	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $31.62 / $32.36	Facility		$7.76	$31.62	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $58.88	Facility		$31.62	$37.15	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $35.48	Professional		$13.18	$16.60	$35.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $25.12 / $91.20	Facility		$10.23	$25.12	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $38.02 / $120.23	Facility		$10.23	$38.02	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.55 / $28.18	Professional		$6.61	$9.55	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $33.11 / $85.11	Professional		$9.77	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $28.84 / $141.25	Professional		$14.45	$28.84	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $100.00	Facility		$22.91	$22.91	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $11.22	Professional		$6.03	$7.59	$11.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $25.12	Professional		$24.55	$24.55	$25.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $67.61	Professional		$25.12	$25.12	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.23 / $13.80	Facility		$8.71	$10.23	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.33 / $28.18	Professional		$4.79	$9.33	$28.18