Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $70.79 / $467.74	Facility		$19.95	$70.79	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $29.51	Professional		$10.00	$11.75	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $35.48 / $36.31	Facility		$28.18	$35.48	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $52.48	Professional		$6.46	$6.46	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $36.31 / $37.15	Facility		$10.47	$36.31	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $41.69 / $67.61	Facility		$36.31	$41.69	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $40.74	Professional		$15.14	$19.05	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $104.71	Facility		$11.75	$28.84	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.85 / $134.90	Facility		$10.47	$15.85	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $30.20	Professional		$7.76	$10.96	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $32.36 / $64.57	Professional		$11.22	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.88 / $77.62	Professional		$16.60	$33.88	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $81.28	Facility		$28.18	$28.18	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $12.88	Professional		$6.92	$8.71	$12.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $28.18	Professional		$26.92	$26.92	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $47.86 / $81.28	Professional		$26.92	$47.86	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.75 / $15.85	Facility		$10.00	$11.75	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.72 / $32.36	Professional		$5.50	$10.72	$32.36