Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $46.77 / $117.49	Facility		$7.08	$46.77	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $18.62	Professional		$3.02	$3.98	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.88 / $13.18	Facility		$10.23	$12.88	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $19.05	Professional		$2.34	$2.34	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $25.12	Facility		$13.49	$15.85	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $14.79	Professional		$5.75	$7.24	$14.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $10.47 / $38.02	Facility		$4.27	$10.47	$38.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $5.75 / $60.26	Facility		$3.89	$5.75	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $3.98 / $10.72	Professional		$2.82	$3.98	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $32.36 / $85.11	Professional		$4.79	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $26.30	Professional		$6.03	$12.02	$26.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $60.26	Facility		$9.55	$9.55	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.09 / $4.68	Professional		$2.51	$3.09	$4.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $19.05	Professional		$10.00	$10.00	$19.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $25.70	Professional		$19.05	$19.05	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.27 / $5.75	Facility		$3.55	$4.27	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.89 / $10.72	Professional		$2.00	$3.89	$10.72