Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.38 / $26.30	Facility		$10.96	$21.38	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $20.89	Professional		$7.08	$7.94	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $25.70 / $26.30	Facility		$20.89	$25.70	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $38.90	Professional		$4.17	$4.17	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Facility		$6.61	$6.61	$6.61
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 $11.22 / $13.80 / $33.11	Professional		$11.22	$13.80	$33.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $19.50 / $67.61	Facility		$7.59	$19.50	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $8.71 / $54.95	Facility		$7.59	$8.71	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $10.72 / $19.95	Professional		$5.75	$10.72	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $16.60 / $64.57	Professional		$8.13	$16.60	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $70.79	Professional		$12.59	$24.55	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $72.44	Facility		$19.50	$19.50	$72.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.50 / $8.32	Professional		$5.13	$5.50	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $20.42	Professional		$8.71	$8.71	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $52.48	Professional		$8.71	$8.71	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.76 / $11.48	Facility		$6.46	$7.76	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.55 / $21.38	Professional		$5.75	$9.55	$21.38