Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $42.66 / $52.48	Facility		$21.88	$42.66	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $21.88	Professional		$14.13	$15.85	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $52.48	Facility		$40.74	$51.29	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $75.86	Professional		$9.33	$9.33	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $61.66 / $97.72	Facility		$52.48	$61.66	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $27.54 / $58.88	Professional		$21.88	$27.54	$58.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $41.69 / $151.36	Facility		$10.00	$41.69	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.98 / $104.71	Facility		$10.00	$16.98	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $42.66	Professional		$11.22	$15.49	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $33.11 / $67.61	Professional		$9.55	$33.11	$67.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $48.98 / $173.78	Professional		$24.55	$48.98	$173.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $104.71	Facility		$38.02	$38.02	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $18.62	Professional		$10.00	$12.59	$18.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $40.74	Professional		$19.50	$19.50	$40.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $102.33	Professional		$19.50	$19.50	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $22.91	Facility		$14.13	$16.98	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.49 / $46.77	Professional		$7.94	$15.49	$46.77