Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $218.78 / $416.87	Facility		$33.11	$218.78	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $20.89 / $75.86	Professional		$8.91	$20.89	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $32.36 / $33.11	Facility		$25.70	$32.36	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $47.86	Professional		$5.89	$5.89	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $33.11 / $33.88	Facility		$9.55	$33.11	$33.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $61.66	Facility		$33.11	$38.90	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.98 / $37.15	Professional		$13.49	$16.98	$37.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.30 / $95.50	Facility		$10.72	$26.30	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $28.84 / $125.89	Facility		$10.72	$28.84	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $33.11	Professional		$7.08	$10.00	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $32.36 / $64.57	Professional		$5.89	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $109.65	Professional		$15.49	$30.90	$109.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $89.13	Facility		$28.84	$28.84	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $11.75	Professional		$6.31	$7.76	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $25.70	Professional		$17.38	$17.38	$25.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $66.07	Professional		$17.38	$17.38	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.72 / $14.45	Facility		$9.12	$10.72	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.77 / $29.51	Professional		$5.01	$9.77	$29.51