Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $43.65 / $53.70	Facility		$22.91	$43.65	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $28.84	Professional		$14.13	$16.98	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $53.70	Facility		$41.69	$52.48	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $69.18	Professional		$9.77	$9.77	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $100.00	Facility		$53.70	$63.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $61.66	Professional		$22.91	$28.18	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $42.66 / $102.33	Facility		$10.47	$42.66	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $17.78 / $602.56	Facility		$10.47	$17.78	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $43.65	Professional		$9.77	$11.75	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $32.36 / $64.57	Professional		$9.77	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $109.65	Professional		$25.12	$50.12	$109.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $602.56 / $602.56	Facility		$38.90	$602.56	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $20.42	Professional		$10.47	$13.80	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $128.82 / $138.04	Professional		$20.89	$128.82	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.38 / $23.44	Facility		$15.85	$17.38	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $43.65	Professional		$8.32	$11.75	$43.65