Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $48.98 / $66.07	Facility		$6.61	$48.98	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.25 / $14.45	Professional		$3.02	$5.25	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.75 / $12.02	Facility		$9.33	$11.75	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $15.49	Professional		$2.63	$2.63	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $10.96 / $11.22	Facility		$2.95	$10.96	$11.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Professional		$4.37	$4.37	$4.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $21.88	Facility		$11.75	$13.80	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.76 / $13.80	Professional		$5.37	$6.76	$13.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $8.71 / $25.70	Facility		$2.88	$8.71	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.89 / $38.02	Facility		$2.88	$3.89	$38.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.47 / $8.91	Professional		$2.63	$4.47	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $11.48 / $64.57	Professional		$2.19	$11.48	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $11.22 / $43.65	Professional		$5.62	$11.22	$43.65
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 $2.14 / $2.19 / $3.16	Professional		$2.14	$2.19	$3.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $9.33	Professional		$8.51	$8.51	$9.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $23.99	Professional		$8.51	$8.51	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.47 / $5.25	Facility		$2.45	$3.47	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $4.37 / $9.55	Professional		$2.63	$4.37	$9.55