Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.78 / $21.88	Facility		$8.91	$17.78	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $8.91	Professional		$5.01	$6.03	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $21.38 / $21.88	Facility		$17.38	$21.38	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $28.18	Professional		$3.24	$3.24	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Facility		$5.37	$5.37	$5.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $40.74	Facility		$21.88	$25.12	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $25.12	Professional		$9.55	$11.75	$25.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $15.85 / $47.86	Facility		$5.37	$15.85	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.24 / $100.00	Facility		$5.37	$7.24	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.90 / $14.79	Professional		$3.98	$4.90	$14.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $32.36 / $85.11	Professional		$7.94	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $74.13	Professional		$10.23	$20.42	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.98 / $5.75	Professional		$3.89	$3.98	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $34.67	Professional		$16.98	$16.98	$34.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $43.65	Professional		$28.18	$34.67	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $6.46 / $9.55	Facility		$4.47	$6.46	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.90 / $15.49	Professional		$3.47	$4.90	$15.49