Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $69.18 / $158.49	Facility		$22.91	$69.18	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.88 / $38.02	Professional		$17.78	$21.88	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.18	Professional		$21.88	$21.88	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Facility		$30.20	$30.20	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $40.74 / $70.79	Facility		$21.88	$40.74	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $40.74	Professional		$21.88	$28.18	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $21.38 / $21.38	Facility		$2.14	$21.38	$21.38
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $42.66 / $42.66	Professional		$1.58	$42.66	$42.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $56.23 / $102.33	Facility		$12.02	$56.23	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $33.88	Professional		$21.38	$21.38	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $22.39 / $64.57	Professional		$21.88	$22.39	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $100.00	Facility		$21.88	$21.88	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.20 / $37.15	Professional		$16.22	$30.20	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $30.20	Professional		$21.88	$21.88	$30.20