Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $47.86 / $91.20	Facility		$6.46	$47.86	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.27 / $14.13	Professional		$3.02	$4.27	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $11.48 / $11.75	Facility		$9.12	$11.48	$11.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $15.14	Professional		$2.63	$2.63	$15.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $10.72 / $10.96	Facility		$2.88	$10.72	$10.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $21.88	Facility		$11.75	$13.80	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $14.79	Professional		$5.01	$6.17	$14.79
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $8.51 / $28.18	Facility		$3.16	$8.51	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $70.79 / $117.49	Facility		$3.16	$70.79	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.68 / $8.71	Professional		$2.57	$4.68	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $6.92 / $64.57	Professional		$2.14	$6.92	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.96 / $43.65	Professional		$5.62	$10.96	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $100.00	Facility		$8.51	$8.51	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.29 / $3.39	Professional		$2.24	$2.29	$3.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $9.12	Professional		$8.51	$8.51	$9.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $23.44	Professional		$8.51	$8.51	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.39 / $5.13	Facility		$2.14	$3.39	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.27 / $9.12	Professional		$2.57	$4.27	$9.12