Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $53.70 / $95.50	Facility		$21.88	$53.70	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.27 / $18.62	Professional		$3.02	$4.27	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.88 / $13.18	Facility		$10.23	$12.88	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $19.05	Professional		$2.34	$2.34	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $13.18 / $13.49	Facility		$3.16	$13.18	$13.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $23.44	Facility		$12.59	$14.79	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $14.79	Professional		$5.75	$7.24	$14.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $10.47 / $38.02	Facility		$4.27	$10.47	$38.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $40.74 / $85.11	Facility		$4.27	$40.74	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.98 / $15.49	Professional		$2.75	$3.98	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $16.60 / $64.57	Professional		$4.07	$16.60	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $61.66	Professional		$6.03	$12.02	$61.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $100.00	Facility		$9.55	$9.55	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.09 / $4.68	Professional		$2.51	$3.09	$4.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $10.00	Professional		$6.03	$6.03	$10.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $20.42 / $29.51	Professional		$6.03	$20.42	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $4.27 / $5.75	Facility		$2.34	$4.27	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.89 / $11.75	Professional		$2.00	$3.89	$11.75