Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $70.79 / $316.23	Facility		$16.60	$70.79	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $50.12	Professional		$6.03	$7.08	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.88 / $22.39	Facility		$17.38	$21.88	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $32.36	Professional		$3.98	$3.98	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $22.39 / $22.91	Facility		$6.17	$22.39	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $26.30 / $41.69	Facility		$22.39	$26.30	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $25.12	Professional		$9.55	$11.75	$25.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $17.78 / $64.57	Facility		$7.24	$17.78	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.77 / $100.00	Facility		$6.31	$9.77	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $18.20	Professional		$4.79	$6.61	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $32.36 / $85.11	Professional		$8.13	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $93.33	Professional		$10.23	$20.42	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $100.00	Facility		$17.38	$17.38	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.37 / $7.76	Professional		$4.27	$5.37	$7.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $39.81	Professional		$17.38	$17.38	$39.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.24 / $9.77	Facility		$6.03	$7.24	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $6.61 / $19.95	Professional		$4.07	$6.61	$19.95