Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $588.84	Facility		$17.78	$35.48	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $18.62	Professional		$8.91	$10.96	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $34.67 / $35.48	Facility		$27.54	$34.67	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $51.29	Professional		$6.31	$6.31	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $66.07	Facility		$35.48	$40.74	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $39.81	Professional		$14.79	$18.62	$39.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $28.18 / $102.33	Facility		$11.48	$28.18	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.02 / $169.82	Facility		$10.23	$12.02	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $29.51	Professional		$7.76	$10.72	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $32.36 / $64.57	Professional		$6.31	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $229.09	Professional		$16.60	$33.11	$229.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $169.82	Facility		$25.70	$25.70	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $12.59	Professional		$6.76	$8.51	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $478.63	Professional		$27.54	$27.54	$478.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $478.63	Professional		$40.74	$70.79	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.48 / $15.49	Facility		$9.77	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.47 / $31.62	Professional		$6.46	$10.47	$31.62