Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $9.55 / $11.75	Facility		$5.01	$9.55	$11.75
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 $9.33 / $11.48 / $11.75	Facility		$9.33	$11.48	$11.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.14 / $17.38	Professional		$2.14	$2.14	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Facility		$2.88	$2.88	$2.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $21.88	Facility		$11.75	$13.80	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $13.49	Professional		$5.01	$6.17	$13.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $9.33 / $34.67	Facility		$3.80	$9.33	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $4.07 / $100.00	Facility		$3.39	$4.07	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.55 / $9.77	Professional		$2.51	$3.55	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $15.14 / $64.57	Professional		$2.14	$15.14	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.96 / $41.69	Professional		$5.62	$10.96	$41.69
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $100.00	Facility		$8.71	$8.71	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $2.75 / $4.17	Professional		$2.29	$2.75	$4.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $16.98	Professional		$9.12	$9.12	$16.98
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $23.44	Professional		$16.98	$16.98	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.80 / $5.13	Facility		$3.24	$3.80	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.55 / $10.72	Professional		$2.00	$3.55	$10.72