Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $25.12 / $77.62	Facility		$10.96	$25.12	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $10.96	Professional		$7.08	$7.94	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $24.55 / $25.12	Facility		$19.95	$24.55	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $37.15	Professional		$4.57	$4.57	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $46.77	Facility		$25.12	$29.51	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $28.84	Professional		$10.72	$13.49	$28.84
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.95 / $74.13	Facility		$8.13	$19.95	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.71 / $100.00	Facility		$7.24	$8.71	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $20.89	Professional		$5.37	$7.59	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $32.36 / $64.57	Professional		$4.57	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $97.72	Professional		$12.02	$23.99	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $100.00	Facility		$18.62	$18.62	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.03 / $9.12	Professional		$4.90	$6.03	$9.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $19.50	Professional		$15.14	$15.14	$19.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $40.74 / $56.23	Professional		$15.14	$40.74	$56.23
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $8.13 / $10.96	Facility		$6.92	$8.13	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $7.59 / $22.91	Professional		$3.98	$7.59	$22.91