Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.18 / $34.67	Facility		$15.14	$28.18	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $15.14	Professional		$8.91	$10.72	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $34.67	Facility		$26.92	$33.88	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $44.67	Professional		$6.17	$6.17	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
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 $14.45 / $18.20 / $38.90	Professional		$14.45	$18.20	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $27.54 / $46.77	Facility		$11.22	$27.54	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.75 / $97.72	Facility		$10.00	$11.75	$97.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.59 / $19.50	Professional		$4.79	$7.59	$19.50
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 $16.22 / $32.36 / $54.95	Professional		$16.22	$32.36	$54.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $97.72	Facility		$50.12	$50.12	$97.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $12.30	Professional		$6.61	$8.32	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $67.61	Professional		$26.92	$26.92	$67.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $67.61 / $69.18	Professional		$23.44	$67.61	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.22 / $15.14	Facility		$9.55	$11.22	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.59 / $24.55	Professional		$4.79	$7.59	$24.55