Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $43.65 / $14,454.40	Facility		$6.03	$43.65	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $19.95 / $51.29	Professional		$6.03	$19.95	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $1,584.89	Facility		$1,202.26	$1,584.89	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $25.70 / $70.79	Professional		$9.55	$25.70	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $23.99 / $29.51	Professional		$22.39	$23.99	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $120.23	Facility		$64.57	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $21.38 / $72.44	Professional		$9.77	$21.38	$72.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $23.44 / $3,388.44	Facility		$6.92	$23.44	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $64.57	Professional		$13.49	$21.88	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $26.92 / $1,659.59	Facility		$7.41	$26.92	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $97.72	Professional		$20.42	$34.67	$97.72
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 $12.88 / $26.30 / $75.86	Professional		$12.88	$26.30	$75.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $100.00	Facility		$66.07	$66.07	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.38 / $147.91	Professional		$20.42	$21.38	$147.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $41.69 / $104.71	Professional		$16.98	$41.69	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $1,949.84	Facility		$977.24	$1,548.82	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $24.55 / $79.43	Professional		$8.32	$24.55	$79.43