Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $37.15 / $46.77	Facility		$19.95	$37.15	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $19.95	Professional		$12.02	$14.13	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $46.77	Facility		$36.31	$45.71	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $67.61	Professional		$8.32	$8.32	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $85.11	Facility		$45.71	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $52.48	Professional		$19.50	$23.99	$52.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $37.15 / $134.90	Facility		$8.91	$37.15	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.14 / $100.00	Facility		$8.91	$15.14	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $13.80 / $38.02	Professional		$9.77	$13.80	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $33.11 / $64.57	Professional		$8.32	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $147.91	Professional		$21.38	$42.66	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $100.00 / $100.00	Facility		$33.88	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $16.60	Professional		$8.91	$11.22	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $35.48	Professional		$17.38	$17.38	$35.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $48.98 / $93.33	Professional		$17.38	$48.98	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.14 / $20.42	Facility		$12.59	$15.14	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.80 / $41.69	Professional		$8.51	$13.80	$41.69