Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $104.71 / $275.42	Facility		$10.96	$104.71	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.98 / $30.20	Professional		$7.94	$16.98	$30.20
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 $4.57 / $4.57 / $40.74	Professional		$4.57	$4.57	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $29.51 / $30.90	Facility		$11.48	$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 / $39.81 / $67.61	Facility		$6.31	$39.81	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $14.45 / $125.89	Facility		$6.31	$14.45	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $20.89	Professional		$6.03	$7.24	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $17.78 / $85.11	Professional		$11.48	$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 $23.99 / $23.99 / $60.26	Facility		$23.99	$23.99	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $6.17	Professional		$5.75	$5.75	$6.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $24.55	Professional		$11.48	$11.48	$24.55
Security Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $79.43	Facility		$57.54	$69.18	$79.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $33.88 / $66.07	Professional		$11.48	$33.88	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $14.45	Facility		$9.12	$9.12	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $23.44	Professional		$5.01	$7.24	$23.44