Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $41.69 / $95.50	Facility		$15.85	$41.69	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $70.79	Professional		$21.38	$28.18	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $50.12 / $51.29	Facility		$42.66	$50.12	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $27.54	Professional		$20.89	$20.89	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $46.77 / $81.28	Facility		$22.91	$46.77	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $60.26	Professional		$23.44	$29.51	$60.26
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $23.44 / $35.48	Facility		$12.88	$23.44	$35.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.39 / $64.57	Facility		$17.38	$22.39	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $38.02	Professional		$20.89	$23.99	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $85.11	Professional		$23.44	$23.44	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $47.86 / $75.86	Professional		$23.44	$47.86	$75.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $100.00	Facility		$22.91	$22.91	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $38.90	Professional		$30.20	$31.62	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $36.31	Professional		$20.89	$23.99	$36.31