Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $34.67 / $48.98	Facility		$18.20	$34.67	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $22.39	Professional		$10.00	$12.88	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $42.66	Facility		$33.11	$41.69	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $61.66	Professional		$7.59	$7.59	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $79.43	Facility		$42.66	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $47.86	Professional		$17.78	$22.39	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.88 / $123.03	Facility		$13.80	$33.88	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.45 / $100.00	Facility		$12.30	$14.45	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $35.48	Professional		$9.12	$12.88	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.36 / $64.57	Professional		$13.18	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $39.81 / $147.91	Professional		$19.95	$39.81	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $100.00	Facility		$30.90	$30.90	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $15.14	Professional		$8.13	$10.23	$15.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $33.11	Professional		$26.92	$26.92	$33.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $85.11	Professional		$26.92	$44.67	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $18.62	Facility		$11.75	$13.80	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.59 / $38.02	Professional		$6.46	$12.59	$38.02