Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $25.70 / $100.00	Facility		$10.96	$25.70	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.96	Professional		$6.03	$7.08	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $25.70	Facility		$19.95	$25.12	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $33.11	Professional		$3.72	$3.72	$33.11
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 $26.30 / $30.20 / $48.98	Facility		$26.30	$30.20	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $29.51	Professional		$10.72	$13.49	$29.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $18.62 / $52.48	Facility		$5.89	$18.62	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $8.51 / $100.00	Facility		$5.89	$8.51	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.62 / $16.98	Professional		$4.79	$5.62	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $32.36 / $85.11	Professional		$4.68	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $33.88	Professional		$12.02	$23.99	$33.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $100.00	Facility		$18.62	$18.62	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.47 / $6.46	Professional		$4.37	$4.47	$6.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $24.55	Professional		$19.95	$19.95	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $51.29	Professional		$24.55	$24.55	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $7.41 / $11.22	Facility		$5.01	$7.41	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.62 / $18.20	Professional		$3.89	$5.62	$18.20