Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.05 / $23.44	Facility		$10.00	$19.05	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.00	Professional		$6.03	$7.08	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.91 / $23.44	Facility		$18.62	$22.91	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $34.67	Professional		$4.27	$4.27	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $43.65	Facility		$23.44	$27.54	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $26.92	Professional		$10.00	$12.30	$26.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $18.62 / $69.18	Facility		$7.59	$18.62	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $8.13 / $100.00	Facility		$6.76	$8.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $19.50	Professional		$5.01	$7.08	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $30.20 / $64.57	Professional		$7.41	$30.20	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $21.88 / $97.72	Professional		$11.22	$21.88	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $100.00 / $100.00	Facility		$17.38	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.75 / $8.32	Professional		$4.57	$5.75	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $18.20	Professional		$8.91	$8.91	$18.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $25.12 / $46.77	Professional		$8.91	$25.12	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $7.59 / $10.23	Facility		$6.46	$7.59	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $7.08 / $21.38	Professional		$3.63	$7.08	$21.38