Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $173.78 / $229.09	Facility		$23.99	$173.78	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $57.54	Professional		$10.47	$12.88	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $43.65 / $44.67	Facility		$34.67	$43.65	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $60.26	Professional		$6.46	$6.46	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $39.81 / $40.74	Facility		$10.47	$39.81	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $83.18	Facility		$43.65	$51.29	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $50.12	Professional		$18.62	$23.44	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $32.36 / $95.50	Facility		$10.72	$32.36	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $14.45 / $75.86	Facility		$10.72	$14.45	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.00 / $29.51	Professional		$8.71	$10.00	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $64.57	Professional		$7.94	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $40.74 / $52.48	Professional		$20.42	$40.74	$52.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $75.86	Facility		$32.36	$32.36	$75.86
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 $33.88 / $33.88 / $46.77	Professional		$33.88	$33.88	$46.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $51.29 / $89.13	Professional		$46.77	$51.29	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $12.88 / $19.50	Facility		$9.12	$12.88	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $30.90	Professional		$7.08	$10.00	$30.90