Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $69.18 / $165.96	Facility		$16.98	$69.18	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.13 / $48.98	Professional		$3.98	$5.13	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.80 / $14.13	Facility		$11.22	$13.80	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $20.89	Professional		$3.80	$3.80	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $14.45 / $14.45	Facility		$4.07	$14.45	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.98 / $26.92	Facility		$14.45	$16.98	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $17.78	Professional		$5.75	$7.24	$17.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $11.22 / $41.69	Facility		$4.57	$11.22	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $47.86 / $97.72	Facility		$4.57	$47.86	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $7.08 / $19.50	Professional		$3.09	$7.08	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $14.45 / $64.57	Professional		$4.47	$14.45	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.49 / $51.29	Professional		$6.92	$13.49	$51.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $60.26	Facility		$12.30	$12.30	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.47 / $5.01	Professional		$2.75	$3.47	$5.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.96	Professional		$10.72	$10.72	$10.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.50 / $28.84	Professional		$10.72	$19.50	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.57 / $6.17	Facility		$3.89	$4.57	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.13 / $13.18	Professional		$3.09	$5.13	$13.18