Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.95 / $24.55	Facility		$10.00	$19.95	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.00	Professional		$6.03	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.99 / $24.55	Facility		$19.50	$23.99	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $31.62	Professional		$3.63	$3.63	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.18 / $45.71	Facility		$24.55	$28.18	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $28.18	Professional		$10.23	$12.88	$28.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $18.20 / $54.95	Facility		$6.17	$18.20	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $8.13 / $100.00	Facility		$6.17	$8.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $16.60	Professional		$4.47	$5.62	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.13 / $64.57	Professional		$7.59	$14.13	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.91 / $74.13	Professional		$11.48	$22.91	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $100.00 / $100.00	Facility		$18.20	$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 / $19.05	Professional		$7.08	$7.08	$19.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $48.98	Professional		$7.08	$7.08	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.24 / $10.72	Facility		$5.25	$7.24	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.62 / $17.38	Professional		$3.98	$5.62	$17.38