Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $58.88 / $85.11	Facility		$20.42	$58.88	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $30.90	Professional		$10.00	$12.30	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $37.15 / $38.02	Facility		$29.51	$37.15	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $54.95	Professional		$6.76	$6.76	$54.95
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 $38.02 / $44.67 / $70.79	Facility		$38.02	$44.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $42.66	Professional		$15.85	$19.50	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.20 / $109.65	Facility		$12.30	$30.20	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.80 / $223.87	Facility		$10.96	$13.80	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $30.90	Professional		$7.94	$11.22	$30.90
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 $17.78 / $34.67 / $147.91	Professional		$17.78	$34.67	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $223.87	Facility		$27.54	$27.54	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $13.18	Professional		$7.24	$8.91	$13.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $123.03	Professional		$29.51	$29.51	$123.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $123.03	Professional		$46.77	$74.13	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.30 / $16.60	Facility		$10.23	$12.30	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $11.22 / $33.88	Professional		$5.75	$11.22	$33.88