Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $51.29 / $512.86	Facility		$5.01	$51.29	$512.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $38.90 / $190.55	Professional		$4.79	$38.90	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $6,165.95	Facility		$1,202.26	$1,584.89	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $7.41 / $19.95	Professional		$2.57	$7.41	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $2.40 / $2.57	Facility		$1.95	$2.40	$2.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.61 / $8.13	Professional		$6.31	$6.61	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.89 / $33.88	Facility		$18.20	$20.89	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $6.31 / $18.62	Professional		$2.51	$6.31	$18.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $7.59 / $3,311.31	Facility		$2.04	$7.59	$3,311.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $7.94 / $18.62	Professional		$3.80	$7.94	$18.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $8.13 / $1,659.59	Facility		$2.09	$8.13	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $16.60 / $75.86	Professional		$6.17	$16.60	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $32.36 / $70.79	Professional		$9.33	$32.36	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $8.13 / $20.89	Professional		$3.24	$8.13	$20.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $2,041.74 / $2,041.74	Facility		$8.32	$2,041.74	$2,041.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $7.76 / $186.21	Professional		$2.34	$7.76	$186.21
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $11.22 / $29.51	Professional		$5.13	$11.22	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $6.92 / $19.95	Professional		$2.45	$6.92	$19.95