Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $20.89 / $25.70	Facility		$10.96	$20.89	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $10.96	Professional		$6.03	$7.94	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.12 / $25.70	Facility		$20.42	$25.12	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $4.68 / $33.11	Professional		$4.68	$4.68	$33.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $48.98	Facility		$26.30	$30.20	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $29.51	Professional		$10.72	$13.49	$29.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $20.42 / $54.95	Facility		$6.17	$20.42	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $8.51 / $100.00	Facility		$6.17	$8.51	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.75 / $17.38	Professional		$5.01	$5.75	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $14.13 / $64.57	Professional		$8.13	$14.13	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $70.79	Professional		$12.02	$23.99	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $100.00 / $100.00	Facility		$19.05	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $6.76	Professional		$4.57	$4.57	$6.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $19.95	Professional		$7.08	$7.08	$19.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $51.29	Professional		$7.08	$7.08	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $8.32 / $11.22	Facility		$5.25	$8.32	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.75 / $20.42	Professional		$4.07	$5.75	$20.42