Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $8.91 / $10.96	Facility		$3.98	$8.91	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $5.62	Professional		$2.00	$3.02	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.72 / $10.96	Facility		$8.71	$10.72	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $14.13	Professional		$2.40	$2.40	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
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 / $13.80	Professional		$4.57	$5.62	$13.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $7.94 / $19.05	Facility		$2.09	$7.94	$19.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $3.63 / $70.79	Facility		$2.09	$3.63	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.47 / $6.92	Professional		$2.04	$3.47	$6.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $8.32 / $64.57	Professional		$2.00	$8.32	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.23 / $33.11	Professional		$5.13	$10.23	$33.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Facility		$50.12	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.62 / $2.34	Professional		$1.58	$1.62	$2.34
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $8.51	Professional		$2.45	$2.45	$8.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $11.22 / $21.88	Professional		$2.45	$11.22	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $2.00 / $3.24 / $4.79	Facility		$2.00	$3.24	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.98 / $7.24	Professional		$2.40	$3.98	$7.24