Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $39.81 / $57.54	Facility		$8.32	$39.81	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.27 / $6.03	Professional		$3.98	$4.27	$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 $2.34 / $2.34 / $21.38	Professional		$2.34	$2.34	$21.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $13.80 / $13.80	Facility		$3.72	$13.80	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Professional		$5.50	$5.50	$5.50
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 $4.27 / $10.96 / $38.02	Facility		$4.27	$10.96	$38.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.13 / $67.61	Facility		$4.27	$5.13	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $10.72	Professional		$3.02	$3.89	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $16.60 / $64.57	Professional		$5.50	$16.60	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.80 / $26.30	Professional		$6.92	$13.80	$26.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $100.00	Facility		$10.96	$10.96	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.09 / $4.68	Professional		$2.88	$3.09	$4.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $14.79	Professional		$11.75	$11.75	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $30.20	Professional		$14.79	$14.79	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.37 / $6.61	Facility		$3.55	$4.37	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.89 / $11.75	Professional		$2.75	$3.89	$11.75