Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.42 / $20.42	Facility		$16.98	$20.42	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $51.29	Professional		$14.13	$19.95	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $79.43	Professional		$23.44	$34.67	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $30.20	Facility		$22.39	$22.39	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $77.62 / $123.03	Facility		$64.57	$77.62	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $63.10 / $87.10	Professional		$30.90	$63.10	$87.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.91 / $48.98	Facility		$14.45	$22.91	$48.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $69.18	Professional		$38.02	$45.71	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $123.03	Facility		$15.14	$26.92	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $323.59	Professional		$24.55	$40.74	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $66.07	Professional		$32.36	$33.11	$66.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $53.70 / $77.62	Professional		$26.92	$53.70	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $85.11 / $151.36	Facility		$57.54	$85.11	$151.36
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $123.03 / $338.84	Professional		$30.20	$123.03	$338.84
Security Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $54.95 / $67.61	Professional		$28.84	$54.95	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $74.13	Professional		$21.88	$33.11	$74.13