Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $190.55 / $346.74	Facility		$36.31	$190.55	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $81.28	Professional		$13.18	$15.85	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $47.86 / $48.98	Facility		$38.90	$47.86	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $60.26	Professional		$8.91	$8.91	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $93.33	Facility		$50.12	$57.54	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $56.23	Professional		$20.42	$25.70	$56.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $34.67 / $56.23	Facility		$15.85	$34.67	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.38 / $169.82	Facility		$14.45	$21.38	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.72 / $27.54	Professional		$5.75	$10.72	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $26.92 / $64.57	Professional		$8.91	$26.92	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $45.71 / $158.49	Professional		$23.44	$45.71	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $158.49	Facility		$35.48	$35.48	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $17.38	Professional		$9.55	$11.75	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $54.95	Professional		$38.02	$38.02	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $54.95 / $100.00	Professional		$52.48	$54.95	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $21.38	Facility		$13.49	$15.85	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.72 / $34.67	Professional		$5.75	$10.72	$34.67