Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $35.48 / $43.65	Facility		$18.20	$35.48	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $18.20	Professional		$10.96	$12.88	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $42.66 / $43.65	Facility		$33.88	$42.66	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $63.10	Professional		$7.76	$7.76	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50.12 / $81.28	Facility		$43.65	$50.12	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $48.98	Professional		$18.20	$22.91	$48.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $34.67 / $125.89	Facility		$14.13	$34.67	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.79 / $100.00	Facility		$12.30	$14.79	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $35.48	Professional		$9.33	$13.18	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $64.57	Professional		$13.49	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $39.81 / $141.25	Professional		$20.42	$39.81	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $100.00	Facility		$37.15	$37.15	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $15.49	Professional		$8.32	$10.47	$15.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $33.88	Professional		$16.22	$16.22	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $63.10 / $91.20	Professional		$16.22	$63.10	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $19.05	Facility		$11.75	$14.13	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $38.90	Professional		$7.94	$12.88	$38.90