Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.38 / $26.30	Facility		$10.96	$21.38	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $10.96	Professional		$7.08	$8.51	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.70 / $26.30	Facility		$20.89	$25.70	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $33.88	Professional		$4.79	$4.79	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Facility		$6.61	$6.61	$6.61
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 / $46.77	Facility		$8.51	$20.89	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.12 / $117.49	Facility		$7.59	$9.12	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $16.98	Professional		$4.79	$5.75	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $20.42 / $64.57	Professional		$4.79	$20.42	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $109.65	Professional		$12.59	$24.55	$109.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $117.49	Facility		$19.05	$19.05	$117.49
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 $6.03 / $6.03 / $20.42	Professional		$6.03	$6.03	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $52.48	Professional		$6.03	$6.03	$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 $4.07 / $5.75 / $18.62	Professional		$4.07	$5.75	$18.62