Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $57.54 / $61.66	Professional		$20.89	$57.54	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $112.20	Professional		$7.24	$7.24	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $100.00	Facility		$50.12	$67.61	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $134.90	Professional		$22.91	$28.84	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $72.44	Facility		$13.18	$13.18	$72.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.18 / $165.96	Facility		$7.59	$13.18	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $23.44 / $64.57	Professional		$11.22	$23.44	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $81.28 / $162.18	Professional		$43.65	$81.28	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $234.42	Facility		$67.61	$67.61	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.77 / $14.45	Professional		$9.55	$9.77	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $75.86	Professional		$51.29	$51.29	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $34.67 / $34.67	Facility		$11.22	$34.67	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $24.55 / $67.61	Professional		$12.02	$24.55	$67.61