Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $31.62 / $288.40	Facility		$15.85	$31.62	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $30.90	Professional		$7.94	$10.23	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $31.62	Facility		$24.55	$30.90	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $40.74	Professional		$5.62	$5.62	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.11 / $46.77	Facility		$25.12	$33.11	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $35.48	Professional		$13.18	$16.60	$35.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $25.12 / $46.77	Facility		$10.23	$25.12	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.96 / $69.18	Facility		$9.12	$10.96	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $17.78	Professional		$4.79	$6.92	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $20.42 / $64.57	Professional		$7.94	$20.42	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $29.51 / $39.81	Professional		$14.45	$29.51	$39.81
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $69.18	Facility		$24.55	$24.55	$69.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $11.22	Professional		$6.03	$7.59	$11.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $24.55	Professional		$19.05	$19.05	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $63.10	Professional		$19.05	$33.11	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.23 / $13.80	Facility		$8.71	$10.23	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $22.39	Professional		$4.79	$6.92	$22.39