Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.70 / $141.25	Facility		$17.38	$25.70	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.23 / $26.30	Professional		$7.94	$10.23	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.90 / $31.62	Facility		$25.12	$30.90	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $46.77	Professional		$5.75	$5.75	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $58.88	Facility		$31.62	$37.15	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $36.31	Professional		$13.18	$16.60	$36.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $25.12 / $93.33	Facility		$10.23	$25.12	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.47 / $25.12	Facility		$8.91	$10.47	$25.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.55 / $26.30	Professional		$6.92	$9.55	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $33.11 / $85.11	Professional		$11.48	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $29.51 / $52.48	Professional		$15.14	$29.51	$52.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $60.26	Facility		$24.55	$24.55	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $11.22	Professional		$6.17	$7.76	$11.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $46.77	Professional		$24.55	$24.55	$46.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $63.10	Professional		$46.77	$46.77	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.23 / $13.80	Facility		$8.71	$10.23	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.55 / $28.84	Professional		$5.75	$9.55	$28.84