Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $42.66 / $52.48	Facility		$21.88	$42.66	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $21.88	Professional		$14.13	$15.85	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $52.48	Facility		$40.74	$51.29	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $75.86	Professional		$9.33	$9.33	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $97.72	Facility		$52.48	$61.66	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $58.88	Professional		$21.38	$26.92	$58.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $41.69 / $151.36	Facility		$16.98	$41.69	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.78 / $91.20	Facility		$14.79	$17.78	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $42.66	Professional		$11.22	$15.49	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $37.15 / $66.07	Professional		$9.33	$37.15	$66.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $48.98 / $91.20	Professional		$24.55	$48.98	$91.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $91.20	Facility		$50.12	$50.12	$91.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $18.62	Professional		$10.00	$12.30	$18.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $39.81	Professional		$19.50	$19.50	$39.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $54.95 / $104.71	Professional		$19.50	$54.95	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $22.91	Facility		$14.13	$16.98	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.14 / $42.66	Professional		$7.94	$15.14	$42.66