Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $38.90 / $83.18	Facility		$8.13	$38.90	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.31 / $15.85	Professional		$2.00	$3.31	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $9.77 / $10.00	Facility		$7.94	$9.77	$10.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $14.79	Professional		$2.69	$2.69	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $10.23 / $10.23	Facility		$2.45	$10.23	$10.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Professional		$3.63	$3.63	$3.63
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 / $11.48	Professional		$4.17	$5.13	$11.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $7.94 / $29.51	Facility		$3.24	$7.94	$29.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $9.12 / $66.07	Facility		$3.24	$9.12	$66.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.02 / $9.12	Professional		$2.14	$3.02	$9.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $7.24 / $64.57	Professional		$1.82	$7.24	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.33 / $43.65	Professional		$4.68	$9.33	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $100.00	Facility		$7.41	$7.41	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $2.45 / $3.63	Professional		$1.95	$2.45	$3.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $7.76	Professional		$6.03	$6.03	$7.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $22.39	Professional		$6.03	$6.03	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.24 / $4.37	Facility		$2.75	$3.24	$4.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.02 / $9.12	Professional		$1.82	$3.02	$9.12