Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $75.86 / $169.82	Facility		$10.00	$75.86	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $28.18	Professional		$5.01	$6.03	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $17.78 / $18.20	Facility		$14.13	$17.78	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.90 / $26.30	Professional		$4.79	$4.90	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $18.62 / $18.62	Facility		$3.63	$18.62	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
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 $7.41 / $9.33 / $20.42	Professional		$7.41	$9.33	$20.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $14.45 / $52.48	Facility		$5.89	$14.45	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.94 / $70.79	Facility		$5.37	$7.94	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.50 / $15.14	Professional		$3.89	$5.50	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $23.44 / $64.57	Professional		$6.61	$23.44	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.98 / $43.65	Professional		$8.51	$16.98	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $60.26	Facility		$13.18	$13.18	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.37 / $6.46	Professional		$3.47	$4.37	$6.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $14.13	Professional		$11.48	$11.48	$14.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $38.90	Professional		$11.48	$11.48	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.89 / $7.94	Facility		$5.01	$5.89	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.37 / $16.22	Professional		$2.75	$5.37	$16.22