Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $85.11 / $131.83	Facility		$18.20	$85.11	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $42.66	Professional		$10.00	$11.75	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $35.48 / $35.48	Facility		$28.18	$35.48	$35.48
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 $14.79 / $18.62 / $40.74	Professional		$14.79	$18.62	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.18 / $104.71	Facility		$11.75	$28.18	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.49 / $107.15	Facility		$10.47	$15.49	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $29.51	Professional		$7.59	$10.72	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $33.11 / $85.11	Professional		$13.18	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $64.57	Professional		$16.60	$33.11	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $64.57	Facility		$27.54	$27.54	$64.57
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 $27.54 / $27.54 / $67.61	Professional		$27.54	$27.54	$67.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $81.28	Professional		$40.74	$67.61	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.48 / $15.49	Facility		$9.77	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.72 / $32.36	Professional		$5.50	$10.72	$32.36