Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.12 / $83.18	Facility		$10.00	$25.12	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $34.67	Professional		$6.03	$7.94	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.55 / $25.12	Facility		$19.50	$24.55	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $36.31	Professional		$4.37	$4.37	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Facility		$6.17	$6.17	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $46.77	Facility		$25.12	$29.51	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $28.18	Professional		$10.23	$12.88	$28.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.50 / $70.79	Facility		$7.94	$19.50	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.51 / $100.00	Facility		$7.24	$8.51	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.41 / $19.95	Professional		$5.50	$7.41	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $31.62 / $64.57	Professional		$4.57	$31.62	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.44 / $128.82	Professional		$11.48	$23.44	$128.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $100.00	Facility		$18.20	$18.20	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.89 / $8.71	Professional		$4.79	$5.89	$8.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $54.95	Professional		$19.50	$19.50	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $54.95	Professional		$38.90	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.94 / $10.96	Facility		$6.76	$7.94	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.24 / $21.88	Professional		$4.57	$7.24	$21.88