Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $83.18 / $128.82	Facility		$20.89	$83.18	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.51 / $34.67	Professional		$7.08	$8.51	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.12 / $25.70	Facility		$20.42	$25.12	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $38.02	Professional		$4.68	$4.68	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $26.30 / $26.92	Facility		$7.24	$26.30	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $48.98	Facility		$26.30	$30.20	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $29.51	Professional		$10.72	$13.49	$29.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $20.42 / $75.86	Facility		$8.32	$20.42	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.55 / $100.00	Facility		$7.59	$9.55	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.94 / $21.38	Professional		$5.50	$7.94	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $32.36 / $64.57	Professional		$8.13	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $93.33	Professional		$12.02	$23.99	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $100.00	Facility		$19.50	$19.50	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $9.12	Professional		$5.01	$6.17	$9.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $19.95	Professional		$16.60	$16.60	$19.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $51.29	Professional		$16.60	$16.60	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $8.32 / $11.22	Facility		$7.08	$8.32	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $7.76 / $23.44	Professional		$4.68	$7.76	$23.44