Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $52.48 / $125.89	Facility		$8.91	$52.48	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.89 / $40.74	Professional		$3.98	$5.89	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $17.38 / $17.78	Facility		$13.80	$17.38	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $25.70	Professional		$3.16	$3.16	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Facility		$4.37	$4.37	$4.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.89 / $33.88	Facility		$18.20	$20.89	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $20.42	Professional		$7.41	$9.33	$20.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $14.13 / $51.29	Facility		$5.75	$14.13	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.03 / $57.54	Facility		$5.13	$6.03	$57.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.37 / $14.79	Professional		$3.80	$5.37	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $22.91 / $64.57	Professional		$6.46	$22.91	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.60 / $45.71	Professional		$8.13	$16.60	$45.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $100.00	Facility		$12.88	$12.88	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.27 / $6.31	Professional		$3.47	$4.27	$6.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $13.80	Professional		$8.51	$8.51	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $32.36 / $39.81	Professional		$8.51	$32.36	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $5.75 / $7.76	Facility		$4.90	$5.75	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.25 / $15.85	Professional		$3.02	$5.25	$15.85