Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $61.66 / $114.82	Facility		$14.13	$61.66	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.68 / $33.88	Professional		$3.98	$4.68	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.80 / $14.13	Facility		$10.96	$13.80	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.51 / $20.42	Professional		$2.51	$2.51	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $14.13 / $14.45	Facility		$3.39	$14.13	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.98 / $26.92	Facility		$14.45	$16.98	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $15.85	Professional		$5.75	$7.24	$15.85
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $11.22 / $40.74	Facility		$4.57	$11.22	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $51.29 / $91.20	Facility		$4.90	$51.29	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $4.37 / $23.44	Professional		$2.95	$4.37	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $18.20 / $64.57	Professional		$2.57	$18.20	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.18 / $66.07	Professional		$6.46	$13.18	$66.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $100.00	Facility		$10.23	$10.23	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.47 / $5.01	Professional		$2.69	$3.47	$5.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $10.96	Professional		$5.50	$5.50	$10.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $24.55 / $31.62	Professional		$5.50	$24.55	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.57 / $6.17	Facility		$3.89	$4.57	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $4.17 / $14.13	Professional		$2.14	$4.17	$14.13