Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $35.48 / $43.65	Facility		$19.05	$35.48	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $19.05	Professional		$12.02	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $43.65	Facility		$34.67	$42.66	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $64.57	Professional		$7.94	$7.94	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $83.18	Facility		$43.65	$51.29	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $50.12	Professional		$18.20	$22.91	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $34.67 / $128.82	Facility		$14.13	$34.67	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.14 / $100.00	Facility		$12.59	$15.14	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $36.31	Professional		$9.33	$13.18	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $33.11 / $64.57	Professional		$13.49	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $109.65	Professional		$20.42	$40.74	$109.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $100.00 / $100.00	Facility		$31.62	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $10.72 / $15.85	Professional		$8.51	$10.72	$15.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $33.88	Professional		$16.60	$16.60	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $60.26 / $97.72	Professional		$16.60	$60.26	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.13 / $19.05	Facility		$12.02	$14.13	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $13.18 / $36.31	Professional		$6.76	$13.18	$36.31