Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $69.18 / $97.72	Facility		$22.91	$69.18	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $48.98	Professional		$10.00	$12.30	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $40.74 / $41.69	Facility		$33.11	$40.74	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $53.70	Professional		$9.12	$9.12	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $38.02 / $38.90	Facility		$11.48	$38.02	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $79.43	Facility		$42.66	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $47.86	Professional		$17.38	$21.88	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $30.90 / $95.50	Facility		$12.02	$30.90	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.80 / $35.48	Facility		$12.02	$13.80	$35.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.00 / $28.18	Professional		$7.59	$10.00	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $64.57	Professional		$15.14	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $36.31 / $50.12	Professional		$19.95	$36.31	$50.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $79.43	Facility		$30.90	$30.90	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.94	Professional		$7.76	$7.76	$7.94
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $32.36	Professional		$12.30	$12.30	$32.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $83.18	Professional		$12.30	$12.30	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.30 / $18.20	Facility		$9.12	$12.30	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $29.51	Professional		$7.08	$10.00	$29.51