Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $117.49 / $251.19	Facility		$66.07	$117.49	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $97.72	Professional		$8.71	$10.96	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.90 / $31.62	Facility		$25.12	$30.90	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $42.66	Professional		$7.94	$7.94	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $29.51 / $30.20	Facility		$7.94	$29.51	$30.20
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 / $36.31	Professional		$13.18	$16.60	$36.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $23.44 / $85.11	Facility		$9.55	$23.44	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $109.65 / $147.91	Facility		$13.80	$109.65	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.91 / $26.30	Professional		$6.76	$8.91	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $31.62 / $64.57	Professional		$5.75	$31.62	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $29.51 / $40.74	Professional		$15.14	$29.51	$40.74
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 $6.17 / $7.08 / $10.47	Professional		$6.17	$7.08	$10.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.20	Professional		$24.55	$24.55	$30.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $70.79	Professional		$30.20	$42.66	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.55 / $13.80	Facility		$8.13	$9.55	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.71 / $26.30	Professional		$5.75	$8.71	$26.30