Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.00 / $12.30	Facility		$5.01	$10.00	$12.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.01	Professional		$3.02	$3.02	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.02 / $12.30	Facility		$9.55	$12.02	$12.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $1.78 / $16.22	Professional		$1.78	$1.78	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Facility		$2.95	$2.95	$2.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $23.44	Facility		$12.59	$14.79	$23.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.76 / $13.80	Professional		$5.37	$6.76	$13.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $8.91 / $25.70	Facility		$2.88	$8.91	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.89 / $100.00	Facility		$2.88	$3.89	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.69 / $8.13	Professional		$2.34	$2.69	$8.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $32.36 / $85.11	Professional		$4.47	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $11.22 / $36.31	Professional		$5.62	$11.22	$36.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.19 / $3.16	Professional		$2.14	$2.19	$3.16
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $9.55	Professional		$3.39	$3.39	$9.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $24.55	Professional		$3.39	$3.39	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $3.55 / $5.37	Facility		$2.45	$3.55	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.69 / $8.71	Professional		$1.91	$2.69	$8.71