Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.00 / $41.69	Facility		$5.01	$10.00	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $6.31	Professional		$3.02	$3.98	$6.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $12.02 / $12.30	Facility		$9.77	$12.02	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.24 / $18.20	Professional		$2.24	$2.24	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
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 $5.37 / $6.76 / $14.13	Professional		$5.37	$6.76	$14.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $9.77 / $36.31	Facility		$3.98	$9.77	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.37 / $26.92	Facility		$3.63	$4.37	$26.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.72 / $10.23	Professional		$2.63	$3.72	$10.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $15.85 / $64.57	Professional		$2.24	$15.85	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.75 / $27.54	Professional		$6.03	$11.75	$27.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.95 / $4.47	Professional		$2.40	$2.95	$4.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $13.49	Professional		$9.55	$9.55	$13.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $24.55	Professional		$13.49	$13.49	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.98 / $5.37	Facility		$3.39	$3.98	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.63 / $11.22	Professional		$2.00	$3.63	$11.22