Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $29.51 / $36.31	Facility		$15.14	$29.51	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $15.14	Professional		$8.91	$10.96	$15.14
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 / $52.48	Professional		$6.46	$6.46	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
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 / $112.20	Facility		$11.75	$28.84	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.59 / $112.20	Facility		$10.23	$12.59	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.75 / $32.36	Professional		$7.76	$11.75	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $32.36 / $64.57	Professional		$11.22	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $158.49	Professional		$16.60	$33.11	$158.49
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $112.20 / $112.20	Facility		$26.30	$112.20	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.33 / $13.80	Professional		$6.92	$9.33	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $28.18	Professional		$14.45	$14.45	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $56.23 / $81.28	Professional		$14.45	$56.23	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.75 / $15.85	Facility		$10.47	$11.75	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.47 / $35.48	Professional		$6.61	$10.47	$35.48