Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $16.60 / $20.42	Facility		$7.94	$16.60	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $9.55	Professional		$5.01	$6.03	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.95 / $20.42	Facility		$16.22	$19.95	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $30.20	Professional		$3.31	$3.31	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $38.90	Facility		$20.89	$23.99	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $23.44	Professional		$8.71	$10.96	$23.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $14.79 / $53.70	Facility		$6.03	$14.79	$53.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.76 / $100.00	Facility		$5.89	$6.76	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.62 / $15.14	Professional		$4.37	$5.62	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $23.44 / $64.57	Professional		$7.41	$23.44	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $19.05 / $79.43	Professional		$9.55	$19.05	$79.43
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $100.00	Facility		$14.79	$14.79	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.37 / $6.46	Professional		$3.98	$4.37	$6.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $36.31	Professional		$15.85	$15.85	$36.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $41.69	Professional		$31.62	$36.31	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.03 / $8.91	Facility		$5.01	$6.03	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.62 / $16.60	Professional		$3.72	$5.62	$16.60