Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $40.74 / $89.13	Facility		$8.91	$40.74	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $33.11	Professional		$7.94	$12.02	$33.11
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $7.59 / $7.94 / $23.99	Professional	CQ	$7.59	$7.94	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $56.23	Professional		$13.80	$22.91	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.79 / $15.85	Facility		$12.02	$14.79	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.88 / $15.85	Professional		$11.75	$12.88	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $35.48 / $57.54	Facility		$30.90	$35.48	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.38 / $34.67	Professional		$11.22	$17.38	$34.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $14.13 / $36.31	Facility		$9.12	$14.13	$36.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $35.48	Professional		$16.98	$26.30	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $14.13 / $43.65	Facility		$9.12	$14.13	$43.65
Medica Facility/Professional Facility Modifier CQ Low / Median / High Price $48.98 / $48.98 / $48.98	Facility	CQ	$48.98	$48.98	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.50 / $61.66	Professional		$12.30	$19.50	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $32.36 / $70.79	Professional		$12.88	$32.36	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $41.69	Professional		$19.95	$30.20	$41.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $79.43	Facility		$23.99	$23.99	$79.43
Quartz Facility/Professional Facility Modifier CQ Low / Median / High Price $20.42 / $20.42 / $67.61	Facility	CQ	$20.42	$20.42	$67.61
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.20 / $77.62	Professional		$11.22	$18.20	$77.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $30.20 / $32.36	Professional		$16.60	$30.20	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.50 / $46.77	Professional		$12.59	$19.50	$46.77