Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $43.65 / $43.65	Facility		$19.05	$43.65	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.05	Professional		$10.96	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.66 / $43.65	Facility		$34.67	$42.66	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $54.95	Professional		$5.01	$5.89	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $83.18	Facility		$43.65	$51.29	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $50.12	Professional		$18.20	$22.91	$50.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $54.95 / $93.33	Facility		$11.22	$54.95	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.14 / $75.86	Facility		$8.51	$15.14	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $28.84	Professional		$7.94	$9.55	$28.84
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 $20.42 / $37.15 / $52.48	Professional		$20.42	$37.15	$52.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $75.86	Facility		$32.36	$32.36	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $87.10 / $123.03	Professional		$46.77	$87.10	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $19.05	Facility		$12.88	$12.88	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $30.90	Professional		$6.76	$9.55	$30.90