Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $64.57 / $162.18	Facility		$22.39	$64.57	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $39.81	Professional		$10.96	$13.18	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $41.69	Facility		$32.36	$40.74	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $50.12	Professional		$7.41	$7.41	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $77.62	Facility		$41.69	$48.98	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $46.77	Professional		$17.38	$21.88	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $28.84 / $46.77	Facility		$13.49	$28.84	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $63.10	Facility		$12.02	$14.45	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.12 / $23.44	Professional		$4.79	$9.12	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $64.57	Professional		$7.94	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $70.79	Professional		$19.50	$38.02	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $75.86	Facility		$32.36	$32.36	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $14.79	Professional		$7.94	$10.00	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $32.36	Professional		$19.05	$19.05	$32.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $81.28	Professional		$19.05	$23.44	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.49 / $18.20	Facility		$11.48	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.12 / $28.84	Professional		$4.90	$9.12	$28.84