Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $89.13 / $151.36	Facility		$32.36	$89.13	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $56.23	Professional		$10.96	$12.88	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.90 / $39.81	Facility		$30.90	$38.90	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $57.54	Professional		$7.08	$7.08	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $39.81 / $40.74	Facility		$11.48	$39.81	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $74.13	Facility		$39.81	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $44.67	Professional		$16.60	$20.42	$44.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $31.62 / $114.82	Facility		$12.88	$31.62	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $45.71 / $147.91	Facility		$12.88	$45.71	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $32.36	Professional		$8.32	$11.75	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $32.36 / $64.57	Professional		$7.08	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $36.31 / $60.26	Professional		$18.62	$36.31	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $69.18	Facility		$28.84	$28.84	$69.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $14.13	Professional		$7.59	$9.55	$14.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $30.90	Professional		$17.38	$17.38	$30.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $89.13	Professional		$17.38	$26.30	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $17.38	Facility		$10.96	$12.88	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.75 / $32.36	Professional		$6.03	$11.75	$32.36