Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $28.18 / $79.43	Facility		$15.49	$28.18	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $58.88	Professional		$7.08	$8.91	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $27.54 / $28.18	Facility		$22.39	$27.54	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $41.69	Professional		$5.13	$5.13	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.88 / $53.70	Facility		$28.84	$33.88	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $32.36	Professional		$12.02	$15.14	$32.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $22.39 / $83.18	Facility		$9.12	$22.39	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.77 / $77.62	Facility		$8.13	$9.77	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.71 / $23.44	Professional		$6.17	$8.71	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $33.11 / $85.11	Professional		$10.23	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.30 / $36.31	Professional		$13.18	$26.30	$36.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $77.62	Facility		$22.39	$22.39	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.92 / $10.23	Professional		$5.50	$6.92	$10.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $51.29	Professional		$21.88	$21.88	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $63.10	Professional		$38.90	$51.29	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.12 / $12.30	Facility		$7.76	$9.12	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.51 / $23.44	Professional		$5.13	$8.51	$23.44