Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $42.66 / $61.66	Facility		$10.00	$42.66	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.07 / $28.18	Professional		$3.02	$4.07	$28.18
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 $2.19 / $2.19 / $17.78	Professional		$2.19	$2.19	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $12.59 / $12.59	Facility		$3.02	$12.59	$12.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Professional		$4.47	$4.47	$4.47
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 / $14.13	Professional		$5.37	$6.76	$14.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $9.77 / $35.48	Facility		$3.98	$9.77	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $15.14 / $72.44	Facility		$3.98	$15.14	$72.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.72 / $10.23	Professional		$2.63	$3.72	$10.23
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 / $15.14	Professional		$5.62	$11.22	$15.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $79.43	Facility		$8.91	$8.91	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.95 / $4.47	Professional		$2.34	$2.95	$4.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $9.55	Professional		$8.91	$8.91	$9.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $24.55	Professional		$8.91	$8.91	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.98 / $5.37	Facility		$3.39	$3.98	$5.37
United Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $3.63 / $10.23	Professional		$2.24	$3.63	$10.23