Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $109.65 / $316.23	Facility		$14.13	$109.65	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $23.44	Professional		$8.91	$10.72	$23.44
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 $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
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 / $37.15	Professional		$13.49	$16.98	$37.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.30 / $95.50	Facility		$10.72	$26.30	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.48 / $51.29	Facility		$9.55	$11.48	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $26.92	Professional		$7.24	$10.00	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $33.11 / $85.11	Professional		$5.89	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $107.15	Professional		$15.49	$30.90	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $194.98	Facility		$28.84	$28.84	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $11.75	Professional		$6.31	$7.76	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $56.23	Professional		$25.70	$25.70	$56.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $74.13	Professional		$47.86	$60.26	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.72 / $14.45	Facility		$9.12	$10.72	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.77 / $29.51	Professional		$6.03	$9.77	$29.51