Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.78 / $21.88	Facility		$8.91	$17.78	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $8.91	Professional		$5.01	$7.08	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $21.38 / $21.88	Facility		$16.98	$21.38	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $31.62	Professional		$3.98	$3.98	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Facility		$6.61	$6.61	$6.61
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 $9.55 / $11.75 / $25.12	Professional		$9.55	$11.75	$25.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $17.38 / $63.10	Facility		$7.08	$17.38	$63.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.41 / $50.12	Facility		$6.31	$7.41	$50.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.61 / $18.20	Professional		$4.68	$6.61	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $32.36 / $85.11	Professional		$3.98	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $20.42 / $33.88	Professional		$10.23	$20.42	$33.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $79.43	Facility		$19.05	$19.05	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.25 / $7.76	Professional		$4.27	$5.25	$7.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $18.62	Professional		$16.98	$16.98	$18.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $48.98	Professional		$18.62	$23.99	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.08 / $9.55	Facility		$6.03	$7.08	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.31 / $19.95	Professional		$3.98	$6.31	$19.95