Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.88 / $95.50	Facility		$18.20	$33.88	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $28.84	Professional		$10.96	$13.49	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $41.69	Facility		$32.36	$40.74	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $60.26	Professional		$7.41	$7.41	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $77.62	Facility		$41.69	$48.98	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $46.77	Professional		$17.38	$21.88	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $120.23	Facility		$13.49	$33.11	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $79.43	Facility		$12.02	$14.13	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.20 / $33.11	Professional		$9.12	$18.20	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $33.11 / $64.57	Professional		$12.88	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $52.48	Professional		$19.50	$38.02	$52.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $79.43	Facility		$30.20	$30.20	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $14.45	Professional		$7.94	$10.00	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $61.66	Professional		$32.36	$32.36	$61.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $61.66 / $93.33	Professional		$60.26	$61.66	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.49 / $18.20	Facility		$11.48	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $33.88	Professional		$9.12	$15.14	$33.88