Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $18.62 / $23.44	Facility		$10.00	$18.62	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.00	Professional		$6.03	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.91 / $23.44	Facility		$18.20	$22.91	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $33.88	Professional		$4.17	$4.17	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $43.65	Facility		$23.44	$27.54	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $26.30	Professional		$9.55	$11.75	$26.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $18.62 / $67.61	Facility		$7.59	$18.62	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $7.94 / $100.00	Facility		$6.61	$7.94	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $19.05	Professional		$5.01	$7.08	$19.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $29.51 / $64.57	Professional		$4.17	$29.51	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.38 / $93.33	Professional		$10.72	$21.38	$93.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $100.00	Facility		$16.98	$16.98	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.50 / $8.32	Professional		$4.47	$5.50	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $37.15	Professional		$17.78	$17.78	$37.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $47.86	Professional		$37.15	$37.15	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.59 / $10.23	Facility		$6.31	$7.59	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.92 / $20.89	Professional		$4.27	$6.92	$20.89