Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $24.55 / $60.26	Facility		$5.50	$24.55	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.75 / $29.51	Professional		$2.00	$2.75	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.77 / $10.00	Facility		$7.76	$9.77	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $14.45	Professional		$1.48	$1.48	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $9.12 / $9.33	Facility		$2.14	$9.12	$9.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.48 / $18.62	Facility		$10.00	$11.48	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $11.48	Professional		$4.17	$5.13	$11.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $7.24 / $23.99	Facility		$2.69	$7.24	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.39 / $45.71	Facility		$2.69	$3.39	$45.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.45 / $6.76	Professional		$2.00	$2.45	$6.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $6.17 / $64.57	Professional		$3.09	$6.17	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.33 / $23.44	Professional		$4.68	$9.33	$23.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $60.26	Facility		$7.24	$7.24	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $2.88	Professional		$1.95	$1.95	$2.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $12.59	Professional		$7.76	$7.76	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $27.54	Professional		$12.59	$12.59	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.88 / $4.37	Facility		$2.29	$2.88	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.45 / $7.41	Professional		$1.78	$2.45	$7.41