Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $32.36 / $91.20	Facility		$8.91	$32.36	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $8.51 / $19.50	Professional		$2.95	$8.51	$19.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $10.00	Professional		$2.14	$2.14	$10.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.91 / $22.91	Facility		$22.39	$22.91	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $18.62	Professional		$16.60	$16.60	$18.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.17 / $6.76	Facility		$3.63	$4.17	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $7.76 / $8.91	Professional		$1.51	$7.76	$8.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $9.55 / $19.95	Facility		$5.25	$9.55	$19.95
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.33 / $23.99	Professional		$7.76	$9.33	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $14.79 / $44.67	Facility		$5.25	$14.79	$44.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $3.02 / $15.14	Professional		$1.62	$3.02	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.23 / $15.14	Professional		$6.92	$10.23	$15.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $1,288.25	Facility		$24.55	$24.55	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $38.90 / $66.07	Professional		$8.71	$38.90	$66.07
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $23.44 / $23.44	Professional		$13.49	$23.44	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $3.02 / $5.37	Professional		$1.62	$3.02	$5.37