Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $26.92 / $33.88	Facility		$14.13	$26.92	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $14.13	Professional		$8.91	$10.00	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $33.11 / $33.88	Facility		$26.30	$33.11	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $48.98	Professional		$5.89	$5.89	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $61.66	Facility		$33.11	$38.90	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $38.02	Professional		$14.13	$17.38	$38.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.30 / $95.50	Facility		$10.72	$26.30	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $11.48 / $70.79	Facility		$9.55	$11.48	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.00 / $26.92	Professional		$7.24	$10.00	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $32.36 / $64.57	Professional		$6.03	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $51.29	Professional		$15.49	$30.90	$51.29
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Facility		$50.12	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.76 / $11.75	Professional		$6.46	$7.76	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $25.70	Professional		$12.30	$12.30	$25.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $47.86 / $75.86	Professional		$12.30	$47.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.72 / $14.45	Facility		$9.12	$10.72	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.77 / $29.51	Professional		$6.03	$9.77	$29.51