Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $36.31 / $44.67	Facility		$19.05	$36.31	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $19.05	Professional		$10.00	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $44.67 / $44.67	Facility		$35.48	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $57.54	Professional		$6.61	$6.61	$57.54
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 $44.67 / $52.48 / $83.18	Facility		$44.67	$52.48	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $51.29	Professional		$19.05	$23.99	$51.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $33.11 / $95.50	Facility		$10.72	$33.11	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $14.79 / $77.62	Facility		$10.72	$14.79	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.00 / $29.51	Professional		$8.71	$10.00	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $33.11 / $85.11	Professional		$16.22	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $41.69 / $74.13	Professional		$20.89	$41.69	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $77.62	Facility		$33.11	$33.11	$77.62
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 / $34.67	Professional		$12.30	$12.30	$34.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $47.86 / $91.20	Professional		$12.30	$47.86	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $13.18 / $19.50	Facility		$9.12	$13.18	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $31.62	Professional		$7.08	$10.00	$31.62