Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $204.17 / $302.00	Facility		$50.12	$204.17	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $51.29	Professional		$16.98	$19.95	$51.29
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 $10.96 / $10.96 / $89.13	Professional		$10.96	$10.96	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $23.44 / $69.18	Facility		$11.75	$23.44	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $114.82	Facility		$61.66	$70.79	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $75.86	Professional		$25.70	$32.36	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $48.98 / $177.83	Facility		$20.89	$48.98	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.92 / $204.17	Facility		$18.20	$26.92	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $50.12	Professional		$13.18	$18.62	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $33.11 / $79.43	Professional		$22.39	$33.11	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $131.83	Professional		$51.29	$97.72	$131.83
Quartz Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $181.97	Facility		$53.70	$53.70	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $36.31	Professional		$11.75	$19.05	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $72.44	Professional		$47.86	$47.86	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $141.25	Professional		$72.44	$72.44	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $19.95 / $26.92	Facility		$11.22	$19.95	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.78 / $50.12	Professional		$9.33	$17.78	$50.12