Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $36.31 / $44.67	Facility		$19.05	$36.31	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.05	Professional		$10.00	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $43.65 / $44.67	Facility		$34.67	$43.65	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $47.86	Professional		$6.46	$6.46	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Facility		$8.51	$8.51	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $52.48 / $83.18	Facility		$44.67	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $51.29	Professional		$18.62	$23.44	$51.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $19.95 / $31.62	Facility		$3.24	$19.95	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $14.79 / $100.00	Facility		$3.24	$14.79	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $9.77 / $25.12	Professional		$2.95	$9.77	$25.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $32.36 / $85.11	Professional		$4.90	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $53.70	Professional		$20.89	$38.90	$53.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $100.00	Facility		$32.36	$32.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.45 / $3.63	Professional		$2.40	$2.45	$3.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $34.67	Professional		$3.72	$3.72	$34.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $14.79 / $89.13	Professional		$3.72	$14.79	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $13.18 / $19.50	Facility		$8.13	$13.18	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $9.77 / $29.51	Professional		$2.95	$9.77	$29.51