Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $35.48 / $58.88	Facility		$8.71	$35.48	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.55 / $26.92	Professional		$3.02	$3.55	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.47 / $10.72	Facility		$8.51	$10.47	$10.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $15.85	Professional		$2.88	$2.88	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $10.96 / $10.96	Facility		$2.63	$10.96	$10.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $19.95	Facility		$10.72	$12.59	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.62 / $13.49	Professional		$4.57	$5.62	$13.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $8.51 / $31.62	Facility		$3.47	$8.51	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $4.68 / $37.15	Facility		$3.16	$4.68	$37.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $4.57 / $8.71	Professional		$2.34	$4.57	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $8.13 / $64.57	Professional		$3.89	$8.13	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.23 / $57.54	Professional		$5.13	$10.23	$57.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $100.00	Facility		$7.76	$7.76	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.63 / $3.89	Professional		$2.09	$2.63	$3.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $8.32	Professional		$6.03	$6.03	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $21.88	Professional		$6.03	$6.03	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.47 / $4.68	Facility		$2.95	$3.47	$4.68
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.89 / $9.77	Professional		$2.34	$3.89	$9.77