Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $45.71 / $56.23	Facility		$23.99	$45.71	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $23.99	Professional		$12.88	$15.85	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $56.23	Facility		$43.65	$54.95	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $60.26	Professional		$8.13	$8.13	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $104.71	Facility		$56.23	$64.57	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $63.10	Professional		$23.44	$29.51	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $25.12 / $39.81	Facility		$4.07	$25.12	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $18.20 / $100.00	Facility		$4.07	$18.20	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $12.30 / $31.62	Professional		$3.72	$12.30	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $32.36 / $85.11	Professional		$6.17	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $67.61	Professional		$26.30	$52.48	$67.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.02 / $4.47	Professional		$2.95	$3.02	$4.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $43.65	Professional		$4.68	$4.68	$43.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $21.88 / $112.20	Professional		$4.68	$21.88	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.22 / $24.55	Facility		$10.23	$16.22	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $12.30 / $36.31	Professional		$3.72	$12.30	$36.31