Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $15.49 / $19.05	Facility		$7.94	$15.49	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $7.94	Professional		$5.01	$6.03	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $19.05	Facility		$15.14	$18.62	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $28.18	Professional		$3.47	$3.47	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
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 $8.32 / $10.23 / $21.88	Professional		$8.32	$10.23	$21.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $15.14 / $56.23	Facility		$6.17	$15.14	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.61 / $100.00	Facility		$5.50	$6.61	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.75 / $15.85	Professional		$4.17	$5.75	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $32.36 / $85.11	Professional		$6.92	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $17.78 / $234.42	Professional		$9.12	$17.78	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $100.00	Facility		$16.60	$16.60	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $4.57 / $6.76	Professional		$3.72	$4.57	$6.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $14.79	Professional		$7.24	$7.24	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $34.67 / $42.66	Professional		$7.24	$34.67	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.17 / $8.32	Facility		$5.25	$6.17	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.75 / $17.38	Professional		$3.47	$5.75	$17.38