Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $34.67 / $42.66	Facility		$18.20	$34.67	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $18.20	Professional		$10.00	$12.02	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $41.69 / $42.66	Facility		$33.88	$41.69	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $60.26	Professional		$6.31	$6.31	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50.12 / $81.28	Facility		$43.65	$50.12	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $48.98	Professional		$17.78	$22.39	$48.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $30.90 / $95.50	Facility		$10.72	$30.90	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $14.13 / $89.13	Facility		$10.72	$14.13	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.00 / $28.84	Professional		$8.71	$10.00	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $32.36 / $64.57	Professional		$7.76	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $39.81 / $51.29	Professional		$20.42	$39.81	$51.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $89.13	Facility		$30.90	$30.90	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.94 / $11.75	Professional		$7.76	$7.94	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $33.11	Professional		$12.30	$12.30	$33.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $47.86 / $85.11	Professional		$12.30	$47.86	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.59 / $18.62	Facility		$9.12	$12.59	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $30.20	Professional		$7.08	$10.00	$30.20