Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $77.62 / $123.03	Facility		$21.88	$77.62	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.76 / $61.66	Professional		$7.08	$7.76	$61.66
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 $4.17 / $4.17 / $33.88	Professional		$4.17	$4.17	$33.88
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 $7.59 / $19.50 / $67.61	Facility		$7.59	$19.50	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $11.75 / $75.86	Facility		$7.59	$11.75	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.08 / $19.05	Professional		$5.25	$7.08	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $30.20 / $64.57	Professional		$8.32	$30.20	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $56.23	Professional		$12.59	$24.55	$56.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $60.26	Facility		$19.50	$19.50	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.50 / $8.32	Professional		$5.13	$5.50	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $21.88	Professional		$20.89	$20.89	$21.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $58.88	Professional		$21.88	$33.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.76 / $11.75	Facility		$6.46	$7.76	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.08 / $20.89	Professional		$4.90	$7.08	$20.89