Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $91.20 / $562.34	Facility		$19.50	$91.20	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $43.65	Professional		$8.91	$12.02	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $35.48 / $36.31	Facility		$28.18	$35.48	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $45.71	Professional		$6.46	$6.46	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $36.31 / $37.15	Facility		$8.91	$36.31	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $41.69 / $67.61	Facility		$36.31	$41.69	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $40.74	Professional		$14.79	$18.62	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $89.13	Facility		$11.75	$28.84	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $13.18 / $169.82	Facility		$10.47	$13.18	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.12 / $27.54	Professional		$6.61	$9.12	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $33.11 / $85.11	Professional		$13.18	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $83.18	Professional		$16.60	$33.11	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $169.82	Facility		$26.30	$26.30	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $12.88	Professional		$6.92	$8.71	$12.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $102.33	Professional		$28.18	$28.18	$102.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $70.79 / $102.33	Professional		$43.65	$70.79	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.75 / $15.85	Facility		$9.77	$11.75	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $9.12 / $28.84	Professional		$5.50	$9.12	$28.84