Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.18 / $34.67	Facility		$15.14	$28.18	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $15.14	Professional		$8.91	$10.00	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $33.88 / $34.67	Facility		$27.54	$33.88	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $47.86	Professional		$5.89	$5.89	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $66.07	Facility		$35.48	$40.74	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $39.81	Professional		$14.45	$18.20	$39.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $26.30 / $95.50	Facility		$6.76	$26.30	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $11.48 / $70.79	Facility		$6.76	$11.48	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.00 / $26.92	Professional		$7.41	$10.00	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $33.11 / $85.11	Professional		$12.59	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $66.07	Professional		$16.22	$32.36	$66.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $70.79	Facility		$25.70	$25.70	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.76 / $11.75	Professional		$6.76	$7.76	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $186.21	Professional		$26.92	$26.92	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $89.13 / $186.21	Professional		$47.86	$89.13	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.72 / $15.14	Facility		$9.12	$10.72	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.00 / $28.18	Professional		$6.31	$10.00	$28.18