Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $50.12 / $50.12	Facility		$20.89	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $20.89	Professional		$12.02	$15.14	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $50.12	Facility		$38.90	$48.98	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $64.57	Professional		$7.24	$7.24	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $93.33	Facility		$50.12	$58.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $23.99 / $57.54	Professional		$9.77	$23.99	$57.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $38.90 / $109.65	Facility		$12.02	$38.90	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $18.20 / $38.90	Facility		$10.00	$18.20	$38.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $33.88	Professional		$9.12	$11.48	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $47.86 / $85.11	Professional		$9.12	$47.86	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $43.65 / $60.26	Professional		$20.89	$43.65	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $87.10	Facility		$36.31	$36.31	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.77	Professional		$9.55	$9.55	$9.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $38.90	Professional		$14.13	$14.13	$38.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $54.95 / $100.00	Professional		$14.13	$54.95	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $21.88	Facility		$10.23	$14.79	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.22 / $35.48	Professional		$8.13	$11.22	$35.48