Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $138.04 / $302.00	Facility		$13.49	$138.04	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $10.96	Professional		$6.03	$7.94	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $26.92	Facility		$20.89	$26.30	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $36.31	Professional		$3.89	$3.89	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $24.55 / $24.55	Facility		$6.46	$24.55	$24.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $50.12	Facility		$26.92	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $30.20	Professional		$11.22	$13.80	$30.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $19.50 / $57.54	Facility		$6.31	$19.50	$57.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $8.91 / $102.33	Facility		$6.31	$8.91	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.03 / $17.78	Professional		$4.90	$6.03	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $32.36 / $85.11	Professional		$9.77	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $38.90	Professional		$12.59	$24.55	$38.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $102.33	Facility		$50.12	$50.12	$102.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $7.08	Professional		$4.79	$4.79	$7.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $51.29	Professional		$20.89	$20.89	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $53.70	Professional		$28.18	$51.29	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.76 / $11.75	Facility		$5.37	$7.76	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.89 / $18.62	Professional		$4.07	$5.89	$18.62