Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $158.49 / $251.19	Facility		$40.74	$158.49	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.59 / $47.86	Professional		$10.96	$12.59	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $38.90	Facility		$30.90	$38.02	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $57.54	Professional		$10.47	$10.47	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $39.81 / $39.81	Facility		$11.22	$39.81	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
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 $12.59 / $30.90 / $114.82	Facility		$12.59	$30.90	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $100.00 / $169.82	Facility		$12.59	$100.00	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $39.81	Professional		$8.32	$11.75	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $64.57	Professional		$12.30	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $36.31 / $72.44	Professional		$18.62	$36.31	$72.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $74.13	Facility		$30.20	$30.20	$74.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $13.80	Professional		$7.59	$9.55	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $43.65	Professional		$30.20	$30.20	$43.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $87.10	Professional		$43.65	$56.23	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $16.98	Facility		$10.72	$12.59	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.48 / $38.90	Professional		$6.03	$11.48	$38.90