Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $16.60 / $53.70	Facility		$13.80	$16.60	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $52.48	Professional		$12.59	$15.85	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $45.71	Professional		$16.22	$23.44	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.48 / $19.95	Facility		$11.22	$11.48	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50.12 / $81.28	Facility		$43.65	$50.12	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $23.44 / $46.77	Professional		$14.13	$23.44	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.14 / $22.39	Facility		$14.79	$15.14	$22.39
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $45.71	Professional		$16.98	$30.20	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.22 / $35.48	Facility		$14.79	$16.22	$35.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $97.72	Professional		$18.62	$30.90	$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 $18.62 / $27.54 / $48.98	Professional		$18.62	$27.54	$48.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $81.28	Facility		$30.20	$30.20	$81.28
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $3.02 / $3.02 / $8.13	Facility	AS	$3.02	$3.02	$8.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $67.61 / $93.33	Professional		$14.13	$67.61	$93.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $24.55 / $33.88	Professional		$18.62	$24.55	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.92 / $46.77	Professional		$17.38	$26.92	$46.77