Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $33.11 / $33.11	Facility		$14.13	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $14.13	Professional		$8.91	$10.00	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $32.36 / $33.11	Facility		$25.70	$32.36	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $47.86	Professional		$5.89	$5.89	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $38.90 / $61.66	Facility		$33.11	$38.90	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $15.49 / $37.15	Professional		$6.31	$15.49	$37.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $25.70 / $95.50	Facility		$9.55	$25.70	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.02 / $25.70	Facility		$6.46	$12.02	$25.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $26.92	Professional		$7.08	$10.00	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $85.11	Professional		$23.44	$42.66	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $28.18 / $41.69	Professional		$13.80	$28.18	$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 Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $25.70	Professional		$12.30	$12.30	$25.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $63.10 / $79.43	Professional		$12.30	$63.10	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.72 / $14.45	Facility		$9.12	$10.72	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.77 / $26.92	Professional		$6.03	$9.77	$26.92