Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.02 / $38.02	Facility		$15.85	$38.02	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $15.85	Professional		$10.00	$10.96	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $37.15 / $38.02	Facility		$29.51	$37.15	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $47.86	Professional		$6.76	$6.76	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $70.79	Facility		$38.02	$44.67	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $42.66	Professional		$15.85	$19.50	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $30.20 / $89.13	Facility		$7.24	$30.20	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $13.80 / $30.20	Facility		$7.24	$13.80	$30.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.12 / $26.92	Professional		$6.92	$9.12	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $44.67	Professional		$17.78	$31.62	$44.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $75.86	Facility		$27.54	$27.54	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $75.86 / $104.71	Professional		$39.81	$75.86	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.30 / $16.60	Facility		$10.96	$12.30	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $27.54	Professional		$6.46	$9.12	$27.54