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 $3.98 / $5.01 / $7.08	Professional		$3.98	$5.01	$7.08
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 $2.95 / $2.95 / $23.99	Professional		$2.95	$2.95	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
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 $5.37 / $13.18 / $47.86	Facility		$5.37	$13.18	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.62 / $213.80	Facility		$4.79	$5.62	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.01 / $14.79	Professional		$3.63	$5.01	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $21.38 / $64.57	Professional		$6.03	$21.38	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $97.72	Professional		$7.76	$15.49	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $213.80	Facility		$12.02	$12.02	$213.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.89 / $5.75	Professional		$3.16	$3.89	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $12.88	Professional		$6.17	$6.17	$12.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $33.11	Professional		$6.17	$6.17	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $5.37 / $7.24	Facility		$4.57	$5.37	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.90 / $15.14	Professional		$3.02	$4.90	$15.14