Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $257.04	Facility		$53.70	$100.00	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $61.66	Professional		$6.03	$7.59	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.39 / $22.91	Facility		$18.20	$22.39	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $33.88	Professional		$4.17	$4.17	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $23.44 / $23.99	Facility		$6.46	$23.44	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Professional		$8.32	$8.32	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $43.65	Facility		$23.44	$27.54	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $26.30	Professional		$9.55	$11.75	$26.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $18.20 / $67.61	Facility		$7.41	$18.20	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $17.38 / $120.23	Facility		$7.41	$17.38	$120.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.92 / $23.44	Professional		$5.01	$6.92	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $32.36 / $85.11	Professional		$8.32	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.38 / $74.13	Professional		$10.72	$21.38	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $100.00	Facility		$16.98	$16.98	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.50 / $8.13	Professional		$4.47	$5.50	$8.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $37.15	Professional		$17.78	$17.78	$37.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $51.29	Professional		$33.88	$38.90	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.41 / $10.00	Facility		$6.31	$7.41	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.92 / $20.89	Professional		$4.17	$6.92	$20.89