Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $53.70 / $97.72	Facility		$22.91	$53.70	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $44.67	Professional		$14.13	$18.20	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $77.62	Professional		$9.77	$9.77	$77.62
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 $17.38 / $42.66 / $144.54	Facility		$17.38	$42.66	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $93.33	Facility		$15.49	$18.62	$93.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $43.65	Professional		$11.22	$15.14	$43.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $32.36 / $64.57	Professional		$16.60	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $69.18	Professional		$25.12	$50.12	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $93.33	Facility		$38.90	$38.90	$93.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $12.88	Professional		$10.47	$10.47	$12.88
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 $22.39 / $33.88 / $138.04	Professional		$22.39	$33.88	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $17.38 / $23.44	Facility		$14.79	$17.38	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.14 / $43.65	Professional		$9.77	$15.14	$43.65