Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $131.83	Facility		$34.67	$83.18	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.89 / $48.98	Professional		$4.79	$5.89	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $17.38 / $17.78	Facility		$13.80	$17.38	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $25.70	Professional		$4.79	$4.79	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $17.78 / $18.20	Facility		$4.27	$17.78	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.89 / $33.88	Facility		$18.20	$20.89	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $20.42	Professional		$7.41	$9.33	$20.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $14.13 / $51.29	Facility		$5.13	$14.13	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $70.79 / $123.03	Facility		$8.13	$70.79	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.46 / $54.95	Professional		$3.80	$6.46	$54.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $22.91 / $64.57	Professional		$3.24	$22.91	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.60 / $77.62	Professional		$8.13	$16.60	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $100.00	Facility		$12.88	$12.88	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.27 / $6.31	Professional		$3.47	$4.27	$6.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $13.80	Professional		$8.91	$8.91	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $39.81	Professional		$8.91	$8.91	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $5.75 / $7.76	Facility		$3.24	$5.75	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $5.25 / $17.78	Professional		$2.69	$5.25	$17.78