Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $58.88	Professional		$15.85	$26.92	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $61.66	Professional		$19.50	$28.84	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $23.99	Facility		$17.78	$17.78	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $100.00	Facility		$81.28	$81.28	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $35.48 / $64.57	Professional		$15.49	$35.48	$64.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $19.95 / $42.66	Facility		$14.45	$19.95	$42.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $52.48	Professional		$32.36	$41.69	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.20 / $38.90	Facility		$13.18	$18.20	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.88 / $100.00	Professional		$20.42	$33.88	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $32.36 / $70.79	Professional		$8.91	$32.36	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $37.15 / $60.26	Professional		$17.38	$37.15	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $46.77 / $389.05	Professional		$16.22	$46.77	$389.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $23.44	Professional		$22.91	$22.91	$23.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $64.57 / $67.61	Professional		$31.62	$64.57	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $50.12	Professional		$16.60	$23.44	$50.12