Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $35.48 / $43.65	Facility		$19.05	$35.48	$43.65
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 $34.67 / $42.66 / $43.65	Facility		$34.67	$42.66	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $60.26	Professional		$6.46	$6.46	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $83.18	Facility		$43.65	$51.29	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $50.12	Professional		$18.20	$22.91	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $32.36 / $95.50	Facility		$7.94	$32.36	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $14.45 / $75.86	Facility		$7.94	$14.45	$75.86
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 $15.85 / $32.36 / $64.57	Professional		$15.85	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.02 / $52.48	Professional		$20.42	$38.02	$52.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $75.86 / $75.86	Facility		$32.36	$75.86	$75.86
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 / $33.88	Professional		$12.30	$12.30	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $46.77 / $87.10	Professional		$12.30	$46.77	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.88 / $19.05	Facility		$9.12	$12.88	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $30.90	Professional		$7.08	$10.00	$30.90