Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $29.51 / $53.70	Facility		$22.91	$29.51	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $28.18	Professional		$14.13	$17.78	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $53.70	Facility		$41.69	$52.48	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $77.62	Professional		$9.55	$9.55	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $100.00	Facility		$53.70	$63.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $61.66	Professional		$22.39	$28.18	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $42.66 / $154.88	Facility		$17.38	$42.66	$154.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $112.20	Facility		$15.49	$18.20	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $43.65	Professional		$11.75	$16.22	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $33.11 / $69.18	Professional		$9.77	$33.11	$69.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $69.18	Professional		$25.12	$50.12	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $112.20	Facility		$57.54	$57.54	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $19.05	Professional		$10.47	$12.88	$19.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $52.48	Professional		$41.69	$41.69	$52.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $120.23	Professional		$52.48	$56.23	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.38 / $23.44	Facility		$14.79	$17.38	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.85 / $43.65	Professional		$9.77	$15.85	$43.65