Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $107.15 / $177.83	Facility		$25.12	$107.15	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $46.77	Professional		$7.94	$9.77	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.20 / $30.90	Facility		$23.99	$30.20	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $44.67	Professional		$5.50	$5.50	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $30.90 / $31.62	Facility		$8.91	$30.90	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $35.48 / $57.54	Facility		$30.90	$35.48	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $34.67	Professional		$13.18	$16.60	$34.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $24.55 / $89.13	Facility		$10.00	$24.55	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $22.39 / $97.72	Facility		$10.00	$22.39	$97.72
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 $5.62 / $32.36 / $64.57	Professional		$5.62	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $91.20	Professional		$14.13	$28.18	$91.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $60.26	Facility		$26.92	$26.92	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $10.96	Professional		$5.89	$7.41	$10.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $51.29	Professional		$23.99	$23.99	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $69.18	Professional		$37.15	$51.29	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.00 / $13.49	Facility		$8.51	$10.00	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.12 / $27.54	Professional		$5.62	$9.12	$27.54