Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $134.90 / $478.63	Facility		$16.60	$134.90	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $20.89	Professional		$8.91	$10.72	$20.89
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 $4.79 / $4.79 / $42.66	Professional		$4.79	$4.79	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.51 / $30.90	Facility		$12.02	$29.51	$30.90
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 / $38.02	Professional		$13.49	$16.98	$38.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $41.69 / $70.79	Facility		$6.31	$41.69	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $12.02 / $141.25	Facility		$6.31	$12.02	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $21.88	Professional		$6.03	$7.24	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $85.11	Professional		$12.02	$17.78	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $28.18 / $39.81	Professional		$15.49	$28.18	$39.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $60.26	Facility		$28.84	$28.84	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $6.46	Professional		$5.75	$5.75	$6.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $25.70	Professional		$12.02	$12.02	$25.70
Security Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $83.18	Facility		$60.26	$72.44	$83.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $35.48 / $66.07	Professional		$12.02	$35.48	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $14.45	Facility		$9.77	$9.77	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.24 / $23.44	Professional		$5.13	$7.24	$23.44