Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $15.14 / $19.05	Facility		$7.94	$15.14	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.94	Professional		$5.01	$5.01	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $18.62 / $19.05	Facility		$14.79	$18.62	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $27.54	Professional		$3.39	$3.39	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.88 / $35.48	Facility		$19.05	$21.88	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $21.38	Professional		$7.76	$9.77	$21.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $14.79 / $54.95	Facility		$6.17	$14.79	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $6.46 / $100.00	Facility		$5.37	$6.46	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.75 / $15.49	Professional		$4.07	$5.75	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $23.99 / $64.57	Professional		$3.47	$23.99	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $17.78 / $63.10	Professional		$9.12	$17.78	$63.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $100.00 / $100.00	Facility		$13.80	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.57 / $6.76	Professional		$3.63	$4.57	$6.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $14.45	Professional		$7.08	$7.08	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $19.95 / $38.02	Professional		$7.08	$19.95	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.03 / $8.13	Facility		$5.13	$6.03	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.62 / $16.98	Professional		$3.47	$5.62	$16.98