Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $40.74 / $446.68	Facility		$20.42	$40.74	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $16.98	Professional		$10.96	$12.88	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $39.81 / $40.74	Facility		$31.62	$39.81	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $58.88	Professional		$7.24	$7.24	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $75.86	Facility		$40.74	$47.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $45.71	Professional		$16.98	$21.38	$45.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $32.36 / $117.49	Facility		$13.18	$32.36	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $162.18	Facility		$11.75	$13.80	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $33.88	Professional		$8.71	$12.30	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $33.11 / $85.11	Professional		$14.79	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.02 / $74.13	Professional		$19.05	$38.02	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $162.18	Facility		$50.12	$50.12	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $14.45	Professional		$7.76	$9.77	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $72.44	Professional		$31.62	$31.62	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $72.44 / $91.20	Professional		$45.71	$72.44	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.18 / $17.78	Facility		$11.22	$13.18	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.02 / $36.31	Professional		$6.17	$12.02	$36.31