Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $42.66 / $125.89	Facility		$18.20	$42.66	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $125.89	Professional		$10.96	$14.13	$125.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $41.69 / $42.66	Facility		$33.88	$41.69	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $61.66	Professional		$7.76	$7.76	$61.66
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 $17.78 / $22.39 / $48.98	Professional		$17.78	$22.39	$48.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.88 / $123.03	Facility		$13.80	$33.88	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.49 / $74.13	Facility		$12.59	$15.49	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $35.48	Professional		$9.12	$12.88	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $32.36 / $64.57	Professional		$13.18	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $39.81 / $74.13	Professional		$20.42	$39.81	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $74.13	Facility		$37.15	$37.15	$74.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $15.14	Professional		$8.32	$10.23	$15.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $64.57	Professional		$33.11	$33.11	$64.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $117.49	Professional		$64.57	$64.57	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $18.62	Facility		$11.75	$13.80	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $12.59 / $35.48	Professional		$7.76	$12.59	$35.48