Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $43.65 / $89.13	Facility		$6.46	$43.65	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $11.75	Professional		$3.02	$3.98	$11.75
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 $3.16 / $3.24 / $17.38	Professional		$3.16	$3.24	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $12.02 / $12.30	Facility		$2.88	$12.02	$12.30
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 $5.01 / $6.17 / $13.49	Professional		$5.01	$6.17	$13.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $9.55 / $34.67	Facility		$3.89	$9.55	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.25 / $100.00	Facility		$3.55	$5.25	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.63 / $12.02	Professional		$2.51	$3.63	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $8.91 / $64.57	Professional		$2.19	$8.91	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.96 / $50.12	Professional		$5.62	$10.96	$50.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $100.00	Facility		$8.71	$8.71	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.95 / $4.17	Professional		$2.29	$2.95	$4.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $9.33	Professional		$6.03	$6.03	$9.33
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $16.60 / $23.99	Professional		$6.03	$16.60	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.89 / $5.25	Facility		$3.31	$3.89	$5.25
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.55 / $10.72	Professional		$2.00	$3.55	$10.72