Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $38.90 / $169.82	Facility		$16.98	$38.90	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $22.91	Professional		$8.91	$11.22	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.11 / $33.88	Facility		$26.92	$33.11	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $43.65	Professional		$6.17	$6.17	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $34.67 / $34.67	Facility		$8.91	$34.67	$34.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $64.57	Facility		$33.88	$39.81	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $38.90	Professional		$14.13	$17.38	$38.90
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 $10.23 / $14.79 / $141.25	Facility		$10.23	$14.79	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.41 / $46.77	Professional		$4.79	$7.41	$46.77
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 $26.30 / $26.30 / $112.20	Facility		$26.30	$26.30	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.13 / $12.02	Professional		$6.61	$8.13	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $100.00	Professional		$26.30	$26.30	$100.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $67.61 / $100.00	Professional		$29.51	$67.61	$100.00
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 / $23.99	Professional		$4.79	$7.41	$23.99