Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $54.95 / $67.61	Facility		$28.84	$54.95	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $33.88	Professional		$10.96	$19.95	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $66.07 / $67.61	Facility		$52.48	$66.07	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $87.10	Professional		$9.77	$9.77	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $79.43 / $125.89	Facility		$67.61	$79.43	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $75.86	Professional		$28.18	$35.48	$75.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $48.98 / $95.50	Facility		$10.72	$48.98	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $21.88 / $117.49	Facility		$10.72	$21.88	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.79 / $38.02	Professional		$9.77	$14.79	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $33.11 / $85.11	Professional		$16.22	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $81.28	Professional		$31.62	$57.54	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $117.49	Facility		$50.12	$50.12	$117.49
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 / $52.48	Professional		$12.30	$12.30	$52.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $51.29 / $134.90	Professional		$12.30	$51.29	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.50 / $29.51	Facility		$12.30	$19.50	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $44.67	Professional		$10.00	$14.79	$44.67