Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $24.55 / $61.66	Facility		$10.00	$24.55	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.76 / $22.91	Professional		$6.03	$7.76	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.99 / $24.55	Facility		$19.05	$23.99	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $31.62	Professional		$4.37	$4.37	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.18 / $45.71	Facility		$24.55	$28.18	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $28.18	Professional		$10.23	$12.88	$28.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.50 / $46.77	Facility		$7.94	$19.50	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $8.32 / $100.00	Facility		$7.08	$8.32	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.37 / $16.60	Professional		$4.47	$5.37	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $32.36 / $85.11	Professional		$7.59	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.91 / $50.12	Professional		$11.48	$22.91	$50.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $100.00	Facility		$19.05	$19.05	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.89 / $8.71	Professional		$4.68	$5.89	$8.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $97.72	Professional		$19.05	$19.05	$97.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $48.98 / $97.72	Professional		$25.70	$48.98	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.94 / $10.72	Facility		$6.76	$7.94	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.37 / $17.38	Professional		$3.72	$5.37	$17.38