Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.11 / $41.69	Facility		$18.20	$33.11	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.02 / $18.20	Professional		$10.96	$12.02	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $41.69	Facility		$32.36	$40.74	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $60.26	Professional		$7.41	$7.41	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $77.62	Facility		$41.69	$48.98	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $46.77	Professional		$16.98	$21.38	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $120.23	Facility		$13.49	$33.11	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $100.00	Facility		$11.75	$14.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.30 / $33.88	Professional		$8.91	$12.30	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $33.11 / $85.11	Professional		$7.59	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $66.07	Professional		$19.50	$38.02	$66.07
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 $7.94 / $10.00 / $14.79	Professional		$7.94	$10.00	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $32.36	Professional		$15.49	$15.49	$32.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $60.26 / $93.33	Professional		$15.49	$60.26	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.49 / $18.20	Facility		$11.22	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.30 / $37.15	Professional		$7.59	$12.30	$37.15