Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.59 / $15.49	Facility		$6.03	$12.59	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.03	Professional		$3.98	$3.98	$6.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $15.49	Facility		$12.02	$15.14	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $19.95	Professional		$2.57	$2.57	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $28.84	Facility		$15.49	$17.78	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $17.38	Professional		$6.17	$7.76	$17.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $11.22 / $31.62	Facility		$4.57	$11.22	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.01 / $100.00	Facility		$4.47	$5.01	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.39 / $10.47	Professional		$2.95	$3.39	$10.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $14.13 / $64.57	Professional		$2.75	$14.13	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $38.02	Professional		$7.24	$14.45	$38.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.47 / $5.01	Professional		$2.95	$3.47	$5.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $12.02	Professional		$4.17	$4.17	$12.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $15.85 / $30.90	Professional		$4.17	$15.85	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.57 / $6.76	Facility		$3.89	$4.57	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.39 / $11.48	Professional		$2.34	$3.39	$11.48