Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $109.65 / $223.87	Facility		$38.90	$109.65	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.59 / $66.07	Professional		$5.89	$7.59	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $21.38	Facility		$16.60	$20.89	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $30.90	Professional		$5.75	$5.75	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $21.38 / $21.88	Facility		$5.13	$21.38	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $40.74	Facility		$21.88	$25.12	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $23.99	Professional		$9.12	$11.48	$23.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $16.98 / $61.66	Facility		$6.17	$16.98	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $91.20 / $173.78	Facility		$31.62	$91.20	$173.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.76 / $50.12	Professional		$4.57	$7.76	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $15.14 / $64.57	Professional		$6.61	$15.14	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $77.62	Professional		$10.00	$19.95	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $100.00	Facility		$15.49	$15.49	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.01 / $7.59	Professional		$4.07	$5.01	$7.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $16.60	Professional		$10.47	$10.47	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $38.90 / $47.86	Professional		$10.47	$38.90	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.92 / $9.33	Facility		$3.89	$6.92	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $6.31 / $21.38	Professional		$3.24	$6.31	$21.38