Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.23 / $12.88	Facility		$5.01	$10.23	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $5.01	Professional		$3.02	$3.98	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $12.59 / $12.88	Facility		$10.00	$12.59	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.29 / $18.62	Professional		$2.29	$2.29	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $3.09	Facility		$3.09	$3.09	$3.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $23.44	Facility		$12.59	$14.79	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.76 / $14.45	Professional		$5.37	$6.76	$14.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $10.23 / $37.15	Facility		$4.17	$10.23	$37.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $4.37 / $100.00	Facility		$3.63	$4.37	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.89 / $10.47	Professional		$2.75	$3.89	$10.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $9.55 / $64.57	Professional		$2.29	$9.55	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.75 / $54.95	Professional		$6.03	$11.75	$54.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $100.00	Facility		$9.33	$9.33	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.09 / $4.47	Professional		$2.45	$3.09	$4.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $9.77	Professional		$4.79	$4.79	$9.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $18.62 / $25.70	Professional		$4.79	$18.62	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $4.07 / $5.62	Facility		$3.47	$4.07	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.80 / $11.48	Professional		$2.29	$3.80	$11.48