Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $83.18 / $120.23	Facility		$26.92	$83.18	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $27.54	Professional		$7.76	$10.72	$27.54
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 $9.33 / $12.59 / $33.88	Facility		$9.33	$12.59	$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 $45.71 / $53.70 / $85.11	Facility		$45.71	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $54.95	Professional		$21.38	$26.92	$54.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $36.31 / $95.50	Facility		$13.49	$36.31	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.45 / $100.00	Facility		$13.49	$14.45	$100.00
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 $36.31 / $70.79 / $114.82	Professional		$36.31	$70.79	$114.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $134.90	Facility		$50.12	$50.12	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $14.13 / $25.70	Professional		$6.46	$14.13	$25.70
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 $8.51 / $10.72 / $15.14	Facility		$8.51	$10.72	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $25.70	Professional		$5.01	$7.24	$25.70