Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $70.79 / $93.33	Facility		$15.14	$70.79	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $48.98	Professional		$5.01	$6.17	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.20 / $18.62	Facility		$14.79	$18.20	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $27.54	Professional		$3.39	$3.39	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $19.05 / $19.05	Facility		$4.57	$19.05	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.88 / $35.48	Facility		$19.05	$21.88	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $21.38	Professional		$7.76	$9.77	$21.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.79 / $54.95	Facility		$6.03	$14.79	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.13 / $100.00	Facility		$5.50	$8.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.62 / $15.49	Professional		$4.07	$5.62	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $32.36 / $85.11	Professional		$3.39	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $17.38 / $81.28	Professional		$8.51	$17.38	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $100.00	Facility		$13.49	$13.49	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.57 / $6.46	Professional		$3.63	$4.57	$6.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $18.20	Professional		$14.45	$14.45	$18.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $38.90	Professional		$18.20	$18.20	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.03 / $8.13	Facility		$5.13	$6.03	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.62 / $16.98	Professional		$3.39	$5.62	$16.98