Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $16.22 / $19.95	Facility		$7.94	$16.22	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $7.94	Professional		$5.01	$6.03	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $19.50 / $19.95	Facility		$15.49	$19.50	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $26.30	Professional		$3.24	$3.24	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $4.90 / $4.90	Facility		$4.90	$4.90	$4.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.91 / $37.15	Facility		$19.95	$22.91	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $22.39	Professional		$8.32	$10.23	$22.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $14.45 / $52.48	Facility		$5.89	$14.45	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.46 / $100.00	Facility		$5.75	$6.46	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.50 / $15.14	Professional		$4.17	$5.50	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $23.44 / $64.57	Professional		$6.17	$23.44	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.62 / $83.18	Professional		$9.55	$18.62	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $100.00	Facility		$14.45	$14.45	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.37 / $6.46	Professional		$3.80	$4.37	$6.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $19.05	Professional		$15.49	$15.49	$19.05
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.11 / $44.67	Professional		$19.05	$33.11	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.89 / $8.71	Facility		$5.01	$5.89	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.50 / $16.22	Professional		$3.63	$5.50	$16.22