Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $77.62 / $158.49	Facility		$10.72	$77.62	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.92 / $24.55	Professional		$4.47	$6.92	$24.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $21.38	Facility		$16.60	$20.89	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $30.90	Professional		$3.80	$3.80	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Facility		$5.89	$5.89	$5.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $40.74	Facility		$21.88	$25.12	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $23.99	Professional		$9.12	$11.48	$23.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $16.98 / $61.66	Facility		$6.92	$16.98	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.24 / $91.20	Facility		$6.03	$7.24	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.31 / $17.38	Professional		$4.47	$6.31	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $27.54 / $64.57	Professional		$7.76	$27.54	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.50 / $74.13	Professional		$10.00	$19.50	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $100.00	Facility		$15.49	$15.49	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.01 / $7.59	Professional		$4.07	$5.01	$7.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $37.15	Professional		$16.60	$16.60	$37.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $47.86	Professional		$30.90	$38.90	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.92 / $9.33	Facility		$5.75	$6.92	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.31 / $19.05	Professional		$3.89	$6.31	$19.05