Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $41.69 / $58.88	Facility		$5.37	$41.69	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.16 / $14.13	Professional		$2.00	$3.16	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.55 / $9.77	Facility		$7.76	$9.55	$9.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $14.45	Professional		$1.78	$1.78	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $10.00 / $10.00	Facility		$1.95	$10.00	$10.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $3.55	Professional		$3.55	$3.55	$3.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.48 / $18.62	Facility		$10.00	$11.48	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.13 / $12.30	Professional		$4.17	$5.13	$12.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $7.76 / $28.84	Facility		$3.16	$7.76	$28.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $4.27 / $69.18	Facility		$2.88	$4.27	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $4.27 / $9.12	Professional		$2.14	$4.27	$9.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $12.59 / $64.57	Professional		$3.55	$12.59	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.33 / $70.79	Professional		$4.68	$9.33	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $100.00	Facility		$7.08	$7.08	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.29 / $3.39	Professional		$1.91	$2.29	$3.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $7.59	Professional		$6.76	$6.76	$7.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.47 / $19.50	Professional		$6.76	$10.47	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $3.16 / $4.27	Facility		$2.69	$3.16	$4.27
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.55 / $9.12	Professional		$2.14	$3.55	$9.12