Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $48.98 / $60.26	Facility		$25.70	$48.98	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $25.70	Professional		$15.14	$16.98	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $60.26	Facility		$46.77	$58.88	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $79.43	Professional		$8.71	$8.71	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $112.20	Facility		$60.26	$70.79	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $67.61	Professional		$25.12	$31.62	$67.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $43.65 / $141.25	Facility		$15.85	$43.65	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.50 / $104.71	Facility		$15.85	$19.50	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.79 / $40.74	Professional		$10.96	$14.79	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $85.11	Professional		$21.88	$34.67	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $74.13	Professional		$28.18	$56.23	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $104.71	Facility		$50.12	$50.12	$104.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $17.38	Professional		$11.48	$11.48	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $46.77	Professional		$18.20	$18.20	$46.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $70.79 / $123.03	Professional		$18.20	$70.79	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $17.38 / $26.30	Facility		$13.18	$17.38	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.45 / $43.65	Professional		$9.12	$14.45	$43.65