Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $112.20 / $234.42	Facility		$29.51	$112.20	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $72.44	Professional		$14.13	$18.20	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $52.48 / $53.70	Facility		$42.66	$52.48	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $79.43	Professional		$9.77	$9.77	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $100.00	Facility		$53.70	$63.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $61.66	Professional		$22.91	$28.18	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $42.66 / $158.49	Facility		$17.38	$42.66	$158.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.95 / $158.49	Facility		$15.85	$19.95	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.22 / $43.65	Professional		$11.48	$16.22	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $33.11 / $69.18	Professional		$9.77	$33.11	$69.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $69.18	Professional		$25.12	$50.12	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $93.33	Facility		$39.81	$39.81	$93.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.48 / $12.88	Professional		$10.47	$11.48	$12.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $125.89	Professional		$41.69	$41.69	$125.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $125.89	Professional		$66.07	$107.15	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.38 / $23.44	Facility		$14.79	$17.38	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.85 / $43.65	Professional		$8.32	$15.85	$43.65