Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.30 / $38.90	Facility		$6.03	$12.30	$38.90
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 $11.75 / $14.79 / $15.14	Facility		$11.75	$14.79	$15.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $21.88	Professional		$2.69	$2.69	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
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 / $16.98	Professional		$6.17	$7.76	$16.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $12.02 / $43.65	Facility		$4.90	$12.02	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.13 / $69.18	Facility		$4.37	$5.13	$69.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.57 / $12.59	Professional		$3.31	$4.57	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $19.50 / $64.57	Professional		$2.69	$19.50	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.80 / $23.44	Professional		$6.92	$13.80	$23.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $69.18	Facility		$10.96	$10.96	$69.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.63 / $5.50	Professional		$2.95	$3.63	$5.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $11.75	Professional		$7.41	$7.41	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $30.20	Professional		$7.41	$7.41	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.90 / $6.61	Facility		$4.17	$4.90	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.47 / $12.59	Professional		$2.75	$4.47	$12.59