Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $158.49 / $263.03	Facility		$33.88	$158.49	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $56.23	Professional		$10.96	$13.80	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $41.69	Facility		$33.11	$41.69	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $57.54	Professional		$7.59	$7.59	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $42.66 / $43.65	Facility		$10.47	$42.66	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $79.43	Facility		$42.66	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $47.86	Professional		$17.38	$21.88	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.11 / $114.82	Facility		$13.80	$33.11	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.49 / $208.93	Facility		$12.30	$15.49	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $35.48	Professional		$8.91	$12.02	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $85.11	Professional		$15.49	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.90 / $275.42	Professional		$19.95	$38.90	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $208.93	Facility		$30.90	$30.90	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.23 / $14.79	Professional		$8.13	$10.23	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $104.71	Professional		$32.36	$32.36	$104.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $104.71 / $104.71	Professional		$57.54	$104.71	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.49 / $18.20	Facility		$11.48	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.02 / $35.48	Professional		$7.59	$12.02	$35.48