Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $79.43 / $117.49	Facility		$25.70	$79.43	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.25 / $38.02	Professional		$4.17	$5.25	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $16.22 / $16.60	Facility		$12.88	$16.22	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $23.99	Professional		$2.95	$2.95	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $16.60 / $16.98	Facility		$4.07	$16.60	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Professional		$6.03	$6.03	$6.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $30.20	Facility		$16.22	$19.05	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $18.62	Professional		$7.08	$8.71	$18.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $13.18 / $47.86	Facility		$5.37	$13.18	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $63.10 / $114.82	Facility		$5.62	$63.10	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.01 / $19.50	Professional		$3.55	$5.01	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $21.38 / $64.57	Professional		$2.95	$21.38	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $48.98	Professional		$7.76	$15.49	$48.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $100.00	Facility		$12.02	$12.02	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.89 / $5.75	Professional		$3.16	$3.89	$5.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.88	Professional		$8.91	$8.91	$12.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $23.99 / $37.15	Professional		$8.91	$23.99	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $5.37 / $7.24	Facility		$3.02	$5.37	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.90 / $14.79	Professional		$3.02	$4.90	$14.79