Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $95.50 / $158.49	Facility		$27.54	$95.50	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $31.62	Professional		$12.02	$15.14	$31.62
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 / $53.70	Professional		$8.32	$8.32	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $46.77 / $47.86	Facility		$12.88	$46.77	$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 $45.71 / $53.70 / $85.11	Facility		$45.71	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $52.48	Professional		$19.50	$23.99	$52.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.84 / $46.77	Facility		$15.14	$28.84	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $89.13	Facility		$13.18	$16.98	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $10.00 / $26.30	Professional		$4.79	$10.00	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $85.11	Professional		$7.94	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $58.88	Professional		$21.38	$42.66	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $89.13	Facility		$35.48	$35.48	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $16.60	Professional		$8.91	$11.22	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $35.48	Professional		$10.23	$10.23	$35.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $48.98 / $93.33	Professional		$10.23	$48.98	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.14 / $20.42	Facility		$12.59	$15.14	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $10.00 / $32.36	Professional		$4.79	$10.00	$32.36