Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $25.70 / $281.84	Facility		$12.88	$25.70	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $12.88	Professional		$7.94	$10.00	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $31.62	Facility		$24.55	$30.90	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $45.71	Professional		$5.75	$5.75	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $58.88	Facility		$31.62	$37.15	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $36.31	Professional		$13.18	$16.60	$36.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.12 / $91.20	Facility		$10.00	$25.12	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.47 / $89.13	Facility		$9.12	$10.47	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $26.30	Professional		$6.76	$9.55	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $33.11 / $85.11	Professional		$11.48	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $29.51 / $48.98	Professional		$15.14	$29.51	$48.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $89.13	Facility		$22.91	$22.91	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $11.22	Professional		$6.17	$7.76	$11.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $117.49	Professional		$24.55	$24.55	$117.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $117.49	Professional		$45.71	$63.10	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.23 / $13.80	Facility		$8.71	$10.23	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.33 / $26.30	Professional		$5.75	$9.33	$26.30