Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $16.60 / $20.42	Facility		$7.94	$16.60	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $7.94	Professional		$5.01	$6.03	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.95 / $20.42	Facility		$15.85	$19.95	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $29.51	Professional		$3.63	$3.63	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $38.90	Facility		$20.89	$23.99	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $22.91	Professional		$8.71	$10.96	$22.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $16.22 / $58.88	Facility		$6.61	$16.22	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.92 / $100.00	Facility		$5.75	$6.92	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.03 / $16.60	Professional		$4.37	$6.03	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $32.36 / $85.11	Professional		$7.41	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.62 / $87.10	Professional		$9.55	$18.62	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $100.00 / $100.00	Facility		$14.79	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.90 / $7.24	Professional		$3.89	$4.90	$7.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $15.85	Professional		$7.59	$7.59	$15.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $29.51 / $45.71	Professional		$7.59	$29.51	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $6.61 / $8.91	Facility		$5.62	$6.61	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $6.03 / $18.20	Professional		$3.09	$6.03	$18.20