Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.18 / $34.67	Facility		$15.14	$28.18	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.14	Professional		$8.91	$10.00	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $34.67	Facility		$26.92	$33.88	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $50.12	Professional		$6.17	$6.17	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $64.57	Facility		$33.88	$39.81	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $38.90	Professional		$14.45	$18.20	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $27.54 / $100.00	Facility		$11.22	$27.54	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.75 / $100.00	Facility		$10.00	$11.75	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $28.18	Professional		$7.59	$10.47	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $32.36 / $64.57	Professional		$10.72	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $141.25	Professional		$15.85	$31.62	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $12.30	Professional		$6.61	$8.32	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $43.65	Professional		$26.92	$26.92	$43.65
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $67.61	Professional		$43.65	$43.65	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.22 / $15.14	Facility		$9.33	$11.22	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.23 / $30.90	Professional		$6.31	$10.23	$30.90