Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $42.66 / $87.10	Facility		$5.50	$42.66	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.63 / $12.88	Professional		$3.02	$3.63	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.72 / $10.96	Facility		$8.51	$10.72	$10.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $15.85	Professional		$1.95	$1.95	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $11.22 / $11.22	Facility		$2.63	$11.22	$11.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Professional		$3.98	$3.98	$3.98
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 / $12.59	Professional		$4.57	$5.62	$12.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $8.71 / $31.62	Facility		$3.55	$8.71	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $8.71 / $61.66	Facility		$3.24	$8.71	$61.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.39 / $10.00	Professional		$2.40	$3.39	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $14.13 / $64.57	Professional		$2.00	$14.13	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $10.23 / $79.43	Professional		$5.13	$10.23	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $100.00	Facility		$7.94	$7.94	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.63 / $3.89	Professional		$2.09	$2.63	$3.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.91	Professional		$8.51	$8.51	$8.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $24.55	Professional		$8.91	$14.45	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.55 / $4.79	Facility		$3.02	$3.55	$4.79
United Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.24 / $10.96	Professional		$2.00	$3.24	$10.96