Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.91 / $28.18	Facility		$12.02	$22.91	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $18.20	Professional		$7.08	$8.91	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $27.54 / $28.18	Facility		$21.88	$27.54	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $35.48	Professional		$5.01	$5.01	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $29.51 / $41.69	Facility		$22.39	$29.51	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $31.62	Professional		$11.75	$14.79	$31.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $22.39 / $46.77	Facility		$9.12	$22.39	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.77 / $67.61	Facility		$8.13	$9.77	$67.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.17 / $16.98	Professional		$4.79	$6.17	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $32.36 / $85.11	Professional		$5.01	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $102.33	Professional		$12.88	$25.70	$102.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $89.13	Facility		$21.38	$21.38	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.76 / $10.00	Professional		$5.37	$6.76	$10.00
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $21.88	Professional		$6.03	$6.03	$21.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $54.95	Professional		$6.03	$6.03	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.12 / $12.30	Facility		$7.59	$9.12	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.17 / $19.50	Professional		$4.27	$6.17	$19.50