Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $40.74 / $114.82	Facility		$7.41	$40.74	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $29.51	Professional		$16.98	$16.98	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $21.88	Professional		$17.38	$17.38	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $26.92	Facility		$25.70	$25.70	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.02 / $66.07	Facility		$17.38	$38.02	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $31.62	Professional		$17.38	$21.88	$31.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.20 / $39.81	Facility		$12.30	$18.20	$39.81
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $45.71	Professional		$27.54	$36.31	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $87.10 / $89.13	Facility		$17.78	$87.10	$89.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $36.31	Professional		$17.78	$17.78	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $64.57 / $85.11	Professional		$17.38	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $18.62 / $58.88	Professional		$17.38	$18.62	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $128.82	Facility		$17.38	$17.38	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $29.51	Professional		$16.98	$23.99	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $27.54	Professional		$17.38	$17.38	$27.54