Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $83.18 / $173.78	Facility		$23.44	$83.18	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.76 / $30.90	Professional		$5.62	$6.76	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $20.42 / $20.89	Facility		$16.22	$20.42	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.62 / $30.20	Professional		$5.50	$5.62	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $20.89 / $21.38	Facility		$5.01	$20.89	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Professional		$7.59	$7.59	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $38.90	Facility		$20.89	$23.99	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $23.44	Professional		$8.71	$10.96	$23.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $16.60 / $60.26	Facility		$6.76	$16.60	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $79.43 / $154.88	Facility		$6.76	$79.43	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.31 / $28.84	Professional		$4.37	$6.31	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $26.30 / $64.57	Professional		$6.46	$26.30	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.50 / $67.61	Professional		$10.00	$19.50	$67.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $100.00	Facility		$15.14	$15.14	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.90 / $7.24	Professional		$3.98	$4.90	$7.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $31.62	Professional		$15.85	$15.85	$31.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $57.54	Professional		$31.62	$31.62	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $6.76 / $9.12	Facility		$3.80	$6.76	$9.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $6.17 / $18.62	Professional		$3.16	$6.17	$18.62