Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $95.50 / $275.42	Facility		$21.38	$95.50	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $42.66	Professional		$7.08	$8.71	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.70 / $26.30	Facility		$20.42	$25.70	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $38.02	Professional		$4.68	$4.68	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $26.92 / $26.92	Facility		$6.31	$26.92	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $48.98	Facility		$26.30	$30.20	$48.98
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 $8.51 / $20.89 / $75.86	Facility		$8.51	$20.89	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $11.48 / $104.71	Facility		$7.94	$11.48	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.94 / $23.44	Professional		$5.62	$7.94	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $32.36 / $64.57	Professional		$9.55	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $47.86	Professional		$12.59	$24.55	$47.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $67.61	Facility		$19.05	$19.05	$67.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.31 / $9.33	Professional		$5.13	$6.31	$9.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $52.48	Professional		$20.42	$20.42	$52.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $52.48	Professional		$33.88	$52.48	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.51 / $11.48	Facility		$7.24	$8.51	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.59 / $23.44	Professional		$3.98	$7.59	$23.44