Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.05 / $67.61	Facility		$14.13	$19.05	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.90 / $549.54	Professional		$15.85	$38.90	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $46.77 / $114.82	Professional		$20.89	$46.77	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $17.78 / $36.31	Facility		$12.88	$17.78	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $77.62	Professional		$30.20	$46.77	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $134.90 / $199.53	Facility		$102.33	$134.90	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $44.67 / $95.50	Professional		$22.91	$44.67	$95.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $34.67 / $56.23	Facility		$17.38	$34.67	$56.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $47.86 / $93.33	Professional		$26.30	$47.86	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $34.67 / $57.54	Facility		$16.98	$34.67	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $251.19	Professional		$41.69	$79.43	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $47.86 / $87.10	Professional		$21.38	$47.86	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $117.49	Facility		$41.69	$41.69	$117.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $44.67 / $251.19	Professional		$26.92	$44.67	$251.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $93.33 / $194.98	Professional		$30.20	$93.33	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $48.98	Facility		$40.74	$40.74	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $50.12 / $114.82	Professional		$24.55	$50.12	$114.82