Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $60.26 / $107.15	Facility		$15.85	$60.26	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.25 / $22.39	Professional		$3.98	$5.25	$22.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.49 / $15.85	Facility		$12.30	$15.49	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.27 / $22.91	Professional		$4.17	$4.27	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $15.85 / $16.22	Facility		$3.80	$15.85	$16.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $30.20	Facility		$16.22	$19.05	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $17.78	Professional		$6.61	$8.32	$17.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $12.59 / $45.71	Facility		$5.13	$12.59	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $7.41 / $72.44	Facility		$4.68	$7.41	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.79 / $13.18	Professional		$3.39	$4.79	$13.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $32.36 / $85.11	Professional		$2.88	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.79 / $54.95	Professional		$7.24	$14.79	$54.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $100.00	Facility		$11.48	$11.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.80 / $5.75	Professional		$3.02	$3.80	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $12.30	Professional		$6.03	$6.03	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $22.91 / $35.48	Professional		$6.03	$22.91	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.13 / $6.92	Facility		$2.88	$5.13	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.68 / $14.13	Professional		$2.40	$4.68	$14.13