Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $263.03	Professional		$16.98	$19.05	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $102.33	Professional		$20.89	$32.36	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $63.10	Facility		$22.39	$22.39	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $69.18	Professional		$22.39	$22.39	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $120.23 / $141.25	Facility		$67.61	$120.23	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $61.66	Professional		$23.44	$39.81	$61.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $19.50 / $31.62	Facility		$17.78	$19.50	$31.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $20.42 / $33.88	Facility		$18.62	$20.42	$33.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $177.83	Professional		$38.02	$67.61	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $52.48 / $93.33	Professional		$36.31	$52.48	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $173.78	Facility		$75.86	$75.86	$173.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $138.04 / $173.78	Professional		$19.95	$138.04	$173.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $52.48	Professional		$23.44	$41.69	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $19.50	Facility		$16.60	$16.60	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $120.23	Professional		$35.48	$53.70	$120.23