Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.47 / $12.88	Facility		$5.01	$10.47	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.13	Professional		$3.02	$3.02	$5.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.59 / $12.88	Facility		$10.00	$12.59	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $1.86 / $16.98	Professional		$1.86	$1.86	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Facility		$2.75	$2.75	$2.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $23.44	Facility		$12.59	$14.79	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $16.22	Professional		$5.75	$7.24	$16.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $9.33 / $29.51	Facility		$3.31	$9.33	$29.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.27 / $100.00	Facility		$3.31	$4.27	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $5.01 / $9.33	Professional		$2.82	$5.01	$9.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $12.88 / $64.57	Professional		$4.68	$12.88	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $22.91	Professional		$6.03	$12.02	$22.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $100.00 / $100.00	Facility		$9.33	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $3.63	Professional		$2.45	$2.45	$3.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $10.00	Professional		$3.80	$3.80	$10.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $25.70	Professional		$3.80	$3.80	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.80 / $5.62	Facility		$2.75	$3.80	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.68 / $10.00	Professional		$2.82	$4.68	$10.00