Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.49 / $16.60	Facility		$7.08	$13.49	$16.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.07 / $8.32	Professional		$3.02	$4.07	$8.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.22 / $16.60	Facility		$12.88	$16.22	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $20.89	Professional		$3.63	$3.63	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $30.20	Facility		$16.22	$19.05	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $18.62	Professional		$7.08	$8.71	$18.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $12.02 / $30.20	Facility		$3.02	$12.02	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $5.37 / $70.79	Facility		$3.02	$5.37	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.03 / $10.96	Professional		$3.31	$6.03	$10.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $13.18 / $64.57	Professional		$5.13	$13.18	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $14.45 / $19.95	Professional		$7.76	$14.45	$19.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Facility		$50.12	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.51 / $3.63	Professional		$2.45	$2.51	$3.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $13.80	Professional		$12.88	$12.88	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $33.11	Professional		$13.80	$17.38	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $4.79 / $7.24	Facility		$3.02	$4.79	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $6.03 / $10.96	Professional		$3.63	$6.03	$10.96