Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $26.92 / $33.11	Facility		$14.13	$26.92	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $14.45	Professional		$8.91	$10.00	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $32.36 / $33.11	Facility		$26.30	$32.36	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $48.98	Professional		$6.03	$6.03	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
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 / $38.02	Professional		$13.49	$16.98	$38.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.30 / $97.72	Facility		$10.72	$26.30	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.48 / $87.10	Facility		$9.55	$11.48	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $27.54	Professional		$7.08	$10.00	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $33.11 / $64.57	Professional		$12.02	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $97.72	Professional		$15.49	$30.90	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $87.10	Facility		$28.84	$28.84	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $11.75	Professional		$6.46	$7.94	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $42.66	Professional		$25.70	$25.70	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $66.07	Professional		$42.66	$42.66	$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 $6.03 / $10.00 / $30.20	Professional		$6.03	$10.00	$30.20