Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $144.54 / $190.55	Facility		$46.77	$144.54	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $54.95	Professional		$12.88	$15.14	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $46.77	Facility		$36.31	$45.71	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $67.61	Professional		$8.32	$8.32	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $47.86 / $47.86	Facility		$12.59	$47.86	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $87.10	Facility		$46.77	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $53.70	Professional		$19.95	$24.55	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $37.15 / $134.90	Facility		$15.14	$37.15	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $128.82 / $181.97	Facility		$16.22	$128.82	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $66.07	Professional		$10.00	$14.13	$66.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $64.57	Professional		$16.98	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $107.15	Professional		$21.88	$43.65	$107.15
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $97.72	Facility		$36.31	$36.31	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.22 / $16.60	Professional		$9.12	$11.22	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $36.31	Professional		$25.70	$25.70	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $60.26 / $104.71	Professional		$25.70	$60.26	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $15.14 / $20.42	Facility		$12.88	$15.14	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $13.80 / $46.77	Professional		$7.08	$13.80	$46.77