Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $22.39 / $27.54	Facility		$10.96	$22.39	$27.54
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 $21.38 / $26.92 / $27.54	Facility		$21.38	$26.92	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $34.67	Professional		$3.98	$3.98	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
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 $11.48 / $14.45 / $30.90	Professional		$11.48	$14.45	$30.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $19.95 / $60.26	Facility		$6.76	$19.95	$60.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.91 / $100.00	Facility		$6.76	$8.91	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.31 / $18.62	Professional		$5.62	$6.31	$18.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $26.92 / $64.57	Professional		$4.90	$26.92	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $33.11	Professional		$12.88	$25.70	$33.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $100.00	Facility		$19.95	$19.95	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.13 / $7.24	Professional		$5.01	$5.13	$7.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $21.38	Professional		$7.76	$7.76	$21.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $28.84 / $53.70	Professional		$7.76	$28.84	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $7.94 / $12.02	Facility		$5.75	$7.94	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.31 / $19.05	Professional		$4.47	$6.31	$19.05