Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.42 / $37.15	Facility		$15.85	$20.42	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $53.70	Professional		$10.00	$12.02	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $36.31 / $37.15	Facility		$28.84	$36.31	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $53.70	Professional		$6.61	$6.61	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $38.02 / $38.02	Facility		$10.96	$38.02	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $43.65 / $69.18	Facility		$37.15	$43.65	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $42.66	Professional		$15.85	$19.50	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.51 / $107.15	Facility		$12.02	$29.51	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $69.18	Facility		$10.72	$12.59	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $30.90	Professional		$7.94	$11.22	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $33.11 / $85.11	Professional		$6.76	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $34.67 / $83.18	Professional		$17.38	$34.67	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $81.28	Facility		$28.84	$28.84	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.91 / $13.18	Professional		$7.24	$8.91	$13.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $114.82	Professional		$28.84	$28.84	$114.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $114.82	Professional		$40.74	$74.13	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.02 / $16.22	Facility		$10.23	$12.02	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.96 / $33.11	Professional		$5.62	$10.96	$33.11