Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $19.95	Professional		$9.12	$14.13	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $67.61	Professional		$19.95	$31.62	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $63.10 / $100.00	Facility		$53.70	$63.10	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $41.69	Professional		$16.22	$28.18	$41.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $15.85 / $36.31	Facility		$11.48	$15.85	$36.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $64.57 / $89.13	Professional		$12.88	$64.57	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.05 / $117.49	Facility		$11.48	$19.05	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.88 / $154.88	Professional		$11.48	$12.88	$154.88
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 $21.88 / $44.67 / $64.57	Professional		$21.88	$44.67	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $128.82	Facility		$48.98	$48.98	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $100.00 / $162.18	Professional		$16.22	$100.00	$162.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $42.66	Professional		$36.31	$38.02	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.02 / $22.91	Professional		$8.13	$12.02	$22.91