Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $35.48 / $43.65	Facility		$19.05	$35.48	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.05	Professional		$10.96	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $43.65	Facility		$34.67	$42.66	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $51.29	Professional		$6.46	$6.46	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $83.18	Facility		$43.65	$51.29	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $50.12	Professional		$18.20	$22.91	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $46.77	Facility		$11.75	$28.84	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.45 / $75.86	Facility		$11.75	$14.45	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.55 / $24.55	Professional		$4.79	$9.55	$24.55
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 $20.42 / $40.74 / $64.57	Professional		$20.42	$40.74	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $75.86 / $75.86	Facility		$31.62	$75.86	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.71 / $12.88	Professional		$8.51	$8.71	$12.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $33.88	Professional		$6.03	$6.03	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $87.10	Professional		$6.03	$6.03	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.88 / $19.05	Facility		$10.00	$12.88	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.55 / $29.51	Professional		$4.90	$9.55	$29.51