Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.38 / $21.38	Facility		$8.91	$17.38	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $8.91	Professional		$3.98	$6.03	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.89 / $21.38	Facility		$16.98	$20.89	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $3.16 / $26.92	Professional		$3.16	$3.16	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $40.74	Facility		$21.88	$25.12	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $24.55	Professional		$9.12	$11.48	$24.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $15.49 / $25.70	Facility		$4.68	$15.49	$25.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $7.08 / $70.79	Facility		$4.68	$7.08	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.68 / $12.02	Professional		$2.69	$4.68	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $32.36 / $85.11	Professional		$3.89	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $25.70	Professional		$10.00	$18.20	$25.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $70.79	Facility		$15.49	$15.49	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $5.25	Professional		$3.47	$3.47	$5.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $16.60	Professional		$3.31	$3.31	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $42.66	Professional		$3.31	$3.31	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $6.31 / $9.33	Facility		$3.98	$6.31	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.68 / $14.13	Professional		$2.69	$4.68	$14.13