Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $69.18 / $186.21	Facility		$21.88	$69.18	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $58.88	Professional		$13.80	$16.60	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $48.98 / $50.12	Facility		$39.81	$48.98	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $74.13	Professional		$9.12	$9.12	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $51.29 / $52.48	Facility		$12.59	$51.29	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $93.33	Facility		$50.12	$58.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $57.54	Professional		$20.89	$26.30	$57.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $147.91	Facility		$16.22	$39.81	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $177.83	Facility		$14.79	$21.88	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $41.69	Professional		$10.96	$15.14	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $33.11 / $64.57	Professional		$15.85	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $77.62	Professional		$23.44	$46.77	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $97.72	Facility		$37.15	$37.15	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $18.20	Professional		$9.77	$12.02	$18.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $74.13	Professional		$38.90	$38.90	$74.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $112.20	Professional		$61.66	$74.13	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.22 / $21.88	Facility		$13.80	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $45.71	Professional		$9.12	$15.14	$45.71