Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $26.92	Facility		$10.96	$21.88	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $10.96	Professional		$7.08	$7.94	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $26.30 / $26.92	Facility		$20.89	$26.30	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $34.67	Professional		$4.27	$4.27	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $50.12	Facility		$26.92	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $30.20	Professional		$11.22	$13.80	$30.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $19.50 / $69.18	Facility		$7.59	$19.50	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $8.71 / $100.00	Facility		$7.59	$8.71	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.08 / $19.50	Professional		$5.62	$7.08	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $30.20 / $64.57	Professional		$4.90	$30.20	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $25.12 / $74.13	Professional		$12.59	$25.12	$74.13
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 $5.13 / $5.75 / $8.32	Professional		$5.13	$5.75	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $20.89	Professional		$8.91	$8.91	$20.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $53.70	Professional		$8.91	$8.91	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.76 / $11.75	Facility		$6.46	$7.76	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.08 / $21.38	Professional		$4.90	$7.08	$21.38