Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $67.61 / $263.03	Facility		$10.00	$67.61	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.46 / $7.94	Professional		$5.01	$6.46	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.50 / $19.95	Facility		$15.85	$19.50	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $3.63 / $29.51	Professional		$3.63	$3.63	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Facility		$5.89	$5.89	$5.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.91 / $37.15	Facility		$19.95	$22.91	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $22.91	Professional		$8.71	$10.96	$22.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $15.85 / $58.88	Facility		$6.46	$15.85	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $7.24 / $100.00	Facility		$5.89	$7.24	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.03 / $16.60	Professional		$4.27	$6.03	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $32.36 / $85.11	Professional		$7.24	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.62 / $69.18	Professional		$9.55	$18.62	$69.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $100.00	Facility		$17.38	$17.38	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.79 / $7.08	Professional		$3.89	$4.79	$7.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $24.55	Professional		$15.49	$15.49	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $44.67	Professional		$24.55	$28.84	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.46 / $8.71	Facility		$5.50	$6.46	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $6.03 / $18.20	Professional		$3.09	$6.03	$18.20