Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $97.72 / $1,862.09	Facility		$8.71	$97.72	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.01 / $12.59	Professional		$3.16	$5.01	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.98 / $17.38	Facility		$13.80	$16.98	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $22.39	Professional		$2.51	$2.51	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $4.07 / $4.07	Facility		$4.07	$4.07	$4.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.95 / $31.62	Facility		$16.98	$19.95	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $19.95	Professional		$7.41	$9.33	$19.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $12.59 / $30.20	Facility		$3.16	$12.59	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.89 / $131.83	Facility		$3.16	$5.89	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.80 / $11.22	Professional		$2.95	$3.80	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $32.36 / $85.11	Professional		$3.16	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.79 / $20.89	Professional		$8.13	$14.79	$20.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $79.43	Facility		$12.59	$12.59	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $2.57	Professional		$2.45	$2.45	$2.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $38.90	Professional		$13.49	$13.49	$38.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $34.67 / $38.90	Professional		$15.14	$34.67	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $5.13 / $954.99	Facility		$3.16	$5.13	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.80 / $11.48	Professional		$2.69	$3.80	$11.48