Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $416.87 / $1,000.00	Facility		$61.66	$416.87	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $29.51 / $162.18	Professional		$10.96	$29.51	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $54.95	Professional		$12.59	$18.20	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.02 / $20.89	Facility		$11.22	$12.02	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $50.12 / $97.72	Professional		$46.77	$50.12	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $158.49 / $257.04	Facility		$138.04	$158.49	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $42.66 / $128.82	Professional		$14.45	$42.66	$128.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $40.74 / $81.28	Facility		$12.88	$40.74	$81.28
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $39.81 / $134.90	Professional		$21.38	$39.81	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $53.70 / $208.93	Facility		$12.88	$53.70	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $323.59	Professional		$53.70	$93.33	$323.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $51.29 / $162.18	Professional		$20.42	$51.29	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $26.92 / $501.19	Facility		$19.50	$26.92	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $57.54 / $323.59	Professional		$13.18	$57.54	$323.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $77.62 / $194.98	Professional		$23.99	$77.62	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $48.98 / $128.82	Professional		$14.13	$48.98	$128.82