Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $77.62 / $123.03	Facility		$9.12	$77.62	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.01 / $13.80	Professional		$3.16	$5.01	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.60 / $16.98	Facility		$13.18	$16.60	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $22.91	Professional		$2.82	$2.82	$22.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $15.85 / $15.85	Facility		$4.79	$15.85	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.95 / $31.62	Facility		$16.98	$19.95	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $19.05	Professional		$7.08	$8.71	$19.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $12.30 / $45.71	Facility		$5.01	$12.30	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $5.50 / $100.00	Facility		$4.79	$5.50	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.68 / $12.88	Professional		$3.31	$4.68	$12.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $19.95 / $64.57	Professional		$3.09	$19.95	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.49 / $57.54	Professional		$7.76	$15.49	$57.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $100.00	Facility		$13.49	$13.49	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.80 / $5.50	Professional		$3.24	$3.80	$5.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $22.39	Professional		$13.18	$13.18	$22.39
Security Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $33.88	Professional		$22.39	$22.39	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.01 / $7.41	Facility		$4.27	$5.01	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.68 / $14.13	Professional		$3.02	$4.68	$14.13