Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $158.49 / $288.40	Facility		$50.12	$158.49	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.70 / $70.79	Professional		$14.13	$25.70	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $50.12	Facility		$38.90	$48.98	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $72.44	Professional		$8.91	$8.91	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $50.12 / $51.29	Facility		$14.45	$50.12	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $93.33	Facility		$50.12	$57.54	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $56.23	Professional		$20.42	$25.70	$56.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $144.54	Facility		$16.22	$39.81	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $208.93	Facility		$14.79	$21.88	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $44.67	Professional		$10.72	$14.79	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $35.48 / $85.11	Professional		$18.20	$35.48	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $46.77 / $63.10	Professional		$23.44	$46.77	$63.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $54,954.09	Facility		$38.90	$38.90	$54,954.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $17.78	Professional		$9.55	$12.02	$17.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $60.26	Professional		$38.90	$38.90	$60.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $112.20	Professional		$54.95	$66.07	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.22 / $21.88	Facility		$13.80	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.79 / $44.67	Professional		$7.59	$14.79	$44.67