Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $36.31 / $257.04	Facility		$15.14	$36.31	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $18.20	Professional		$10.00	$11.75	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $35.48 / $36.31	Facility		$28.18	$35.48	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $46.77	Professional		$6.46	$6.46	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $41.69 / $67.61	Facility		$36.31	$41.69	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $40.74	Professional		$15.14	$19.05	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $27.54 / $46.77	Facility		$11.75	$27.54	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.30 / $104.71	Facility		$10.47	$12.30	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.94 / $20.42	Professional		$4.79	$7.94	$20.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $19.95 / $64.57	Professional		$7.94	$19.95	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.88 / $64.57	Professional		$16.60	$33.88	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $104.71	Facility		$28.18	$28.18	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $12.88	Professional		$6.92	$8.71	$12.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $131.83	Professional		$28.18	$28.18	$131.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $72.44 / $131.83	Professional		$29.51	$72.44	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.75 / $15.85	Facility		$10.00	$11.75	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.94 / $25.70	Professional		$4.79	$7.94	$25.70