Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $37.15 / $54.95	Facility		$18.62	$37.15	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $16.22	Professional		$10.00	$10.96	$16.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $36.31 / $37.15	Facility		$29.51	$36.31	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $53.70	Professional		$5.89	$5.89	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $70.79	Facility		$38.02	$44.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $42.66	Professional		$15.85	$19.50	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.92 / $95.50	Facility		$10.72	$26.92	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.30 / $79.43	Facility		$10.72	$12.30	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.00 / $26.92	Professional		$7.41	$10.00	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $33.11 / $85.11	Professional		$6.76	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $34.67 / $47.86	Professional		$17.78	$34.67	$47.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $79.43 / $79.43	Facility		$26.92	$79.43	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.76 / $11.75	Professional		$7.24	$7.76	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $28.84	Professional		$12.30	$12.30	$28.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $51.29 / $83.18	Professional		$12.30	$51.29	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.96 / $16.22	Facility		$9.12	$10.96	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.00 / $29.51	Professional		$6.76	$10.00	$29.51