Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $29.51	Facility		$12.02	$23.99	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $12.02	Professional		$7.94	$8.91	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $28.84 / $29.51	Facility		$22.91	$28.84	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.25 / $37.15	Professional		$5.25	$5.25	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Facility		$8.51	$8.51	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $53.70	Facility		$28.84	$33.88	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $33.11	Professional		$12.30	$15.49	$33.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $23.44 / $56.23	Facility		$9.55	$23.44	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.00 / $60.26	Facility		$8.32	$10.00	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.31 / $19.95	Professional		$5.13	$6.31	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $32.36 / $85.11	Professional		$9.12	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $26.92 / $64.57	Professional		$13.80	$26.92	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $60.26	Facility		$25.12	$25.12	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.08 / $10.47	Professional		$5.62	$7.08	$10.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $22.91	Professional		$7.24	$7.24	$22.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $30.90 / $57.54	Professional		$7.24	$30.90	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $9.55 / $12.88	Facility		$7.94	$9.55	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.31 / $20.42	Professional		$4.47	$6.31	$20.42