Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $53.70 / $251.19	Facility		$22.91	$53.70	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $27.54	Professional		$14.13	$18.20	$27.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $53.70	Facility		$41.69	$52.48	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $77.62	Professional		$9.55	$9.55	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $61.66 / $100.00	Facility		$53.70	$61.66	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $60.26	Professional		$22.39	$28.18	$60.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $42.66 / $154.88	Facility		$17.38	$42.66	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.20 / $100.00	Facility		$15.14	$18.20	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.85 / $43.65	Professional		$11.48	$15.85	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $33.11 / $67.61	Professional		$9.55	$33.11	$67.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $48.98 / $67.61	Professional		$25.12	$48.98	$67.61
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $100.00	Facility		$40.74	$40.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $18.62	Professional		$10.23	$12.88	$18.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $144.54	Professional		$41.69	$41.69	$144.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $120.23 / $144.54	Professional		$57.54	$120.23	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $17.38 / $23.44	Facility		$14.45	$17.38	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.85 / $47.86	Professional		$8.13	$15.85	$47.86