Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $27.54 / $204.17	Facility		$18.62	$27.54	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $14.13	Professional		$8.91	$10.00	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $33.88	Facility		$26.92	$33.88	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $50.12	Professional		$6.17	$6.17	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $64.57	Facility		$33.88	$39.81	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $38.90	Professional		$14.45	$18.20	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.92 / $100.00	Facility		$10.96	$26.92	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.75 / $208.93	Facility		$9.77	$11.75	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.47 / $28.18	Professional		$7.41	$10.47	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $33.11 / $85.11	Professional		$12.59	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $56.23	Professional		$15.85	$31.62	$56.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $208.93	Facility		$29.51	$29.51	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.13 / $12.30	Professional		$6.61	$8.13	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $26.30	Professional		$12.88	$12.88	$26.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $67.61	Professional		$12.88	$12.88	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.96 / $14.79	Facility		$9.33	$10.96	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.23 / $30.90	Professional		$6.17	$10.23	$30.90