Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $33.88	Facility		$14.13	$27.54	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $14.13	Professional		$7.94	$10.00	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.11 / $33.88	Facility		$26.30	$33.11	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $42.66	Professional		$6.03	$6.03	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $61.66	Facility		$33.11	$38.90	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $38.02	Professional		$14.13	$17.38	$38.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $26.92 / $46.77	Facility		$10.96	$26.92	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.48 / $81.28	Facility		$9.77	$11.48	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.41 / $19.05	Professional		$4.79	$7.41	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $85.11	Professional		$7.94	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $60.26	Professional		$15.85	$31.62	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $81.28	Facility		$50.12	$50.12	$81.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $12.02	Professional		$6.46	$7.94	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $26.30	Professional		$6.03	$6.03	$26.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $23.44 / $67.61	Professional		$6.03	$23.44	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.96 / $14.79	Facility		$9.33	$10.96	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.41 / $23.44	Professional		$4.79	$7.41	$23.44