Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $36.31 / $45.71	Facility		$19.05	$36.31	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $21.88	Professional		$12.02	$14.13	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $44.67 / $45.71	Facility		$35.48	$44.67	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $66.07	Professional		$8.13	$8.13	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $52.48 / $83.18	Facility		$44.67	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $51.29	Professional		$19.05	$23.99	$51.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $36.31 / $131.83	Facility		$14.79	$36.31	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.49 / $295.12	Facility		$12.88	$15.49	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.80 / $37.15	Professional		$9.77	$13.80	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $32.36 / $64.57	Professional		$14.13	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $70.79	Professional		$20.89	$41.69	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $295.12	Facility		$33.11	$33.11	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $16.22	Professional		$8.71	$10.72	$16.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $83.18	Professional		$34.67	$34.67	$83.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $91.20	Professional		$77.62	$83.18	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.45 / $19.95	Facility		$12.30	$14.45	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.49 / $40.74	Professional		$6.92	$13.49	$40.74