Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $25.70 / $31.62	Facility		$12.88	$25.70	$31.62
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 $25.12 / $31.62 / $31.62	Facility		$25.12	$31.62	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $46.77	Professional		$5.75	$5.75	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.02 / $60.26	Facility		$32.36	$38.02	$60.26
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 $10.47 / $25.70 / $93.33	Facility		$10.47	$25.70	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.96 / $100.00	Facility		$9.12	$10.96	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $26.30	Professional		$6.92	$9.77	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $33.11 / $85.11	Professional		$11.75	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $29.51 / $141.25	Professional		$15.14	$29.51	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $100.00	Facility		$23.44	$23.44	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $11.48	Professional		$6.17	$7.76	$11.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $24.55	Professional		$12.02	$12.02	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $67.61	Professional		$12.02	$12.02	$67.61
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 / $9.55 / $28.84	Professional		$5.75	$9.55	$28.84