Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $8.71 / $10.96	Facility		$3.98	$8.71	$10.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.31	Professional		$3.02	$3.02	$6.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.72 / $10.96	Facility		$8.51	$10.72	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $15.85	Professional		$1.95	$1.95	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
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 / $12.30	Professional		$4.57	$5.62	$12.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $8.71 / $31.62	Facility		$3.55	$8.71	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.72 / $100.00	Facility		$3.09	$3.72	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.24 / $8.91	Professional		$2.34	$3.24	$8.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $8.13 / $64.57	Professional		$3.98	$8.13	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.23 / $63.10	Professional		$5.13	$10.23	$63.10
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 $2.09 / $2.63 / $3.89	Professional		$2.09	$2.63	$3.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $20.42	Professional		$8.32	$8.32	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.42 / $23.99	Professional		$18.62	$20.42	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $3.55 / $4.79	Facility		$2.95	$3.55	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.24 / $9.77	Professional		$2.00	$3.24	$9.77