Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $31.62 / $61.66	Facility		$10.47	$31.62	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.09 / $30.90	Professional		$2.95	$3.09	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.23 / $10.47	Facility		$8.13	$10.23	$10.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $15.14	Professional		$1.70	$1.70	$15.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $9.55 / $9.77	Facility		$2.57	$9.55	$9.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Professional		$3.80	$3.80	$3.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $19.95	Facility		$10.72	$12.59	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.62 / $11.75	Professional		$4.57	$5.62	$11.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $7.59 / $27.54	Facility		$3.09	$7.59	$27.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $34.67 / $64.57	Facility		$3.09	$34.67	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.88 / $8.51	Professional		$2.09	$2.88	$8.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $6.76 / $64.57	Professional		$1.91	$6.76	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.55 / $43.65	Professional		$4.68	$9.55	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $100.00	Facility		$7.59	$7.59	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.29 / $3.39	Professional		$2.00	$2.29	$3.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.59	Professional		$8.13	$8.13	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $20.89	Professional		$12.59	$12.59	$20.89
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $3.09 / $4.57	Facility		$2.57	$3.09	$4.57
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $2.82 / $10.00	Professional		$1.91	$2.82	$10.00