Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $20.42 / $25.12	Facility		$10.00	$20.42	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $12.02	Professional		$6.03	$7.08	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $24.55 / $25.12	Facility		$19.50	$24.55	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $33.88	Professional		$4.17	$4.17	$33.88
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 $25.12 / $29.51 / $46.77	Facility		$25.12	$29.51	$46.77
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 $7.41 / $18.20 / $67.61	Facility		$7.41	$18.20	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.13 / $100.00	Facility		$7.24	$8.13	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.08 / $24.55	Professional		$5.25	$7.08	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $29.51 / $64.57	Professional		$7.76	$29.51	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $23.44 / $66.07	Professional		$11.48	$23.44	$66.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $100.00	Facility		$18.20	$18.20	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.50 / $8.13	Professional		$4.79	$5.50	$8.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $61.66	Professional		$19.50	$19.50	$61.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $50.12 / $61.66	Professional		$26.30	$50.12	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.41 / $10.96	Facility		$6.31	$7.41	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $7.08 / $24.55	Professional		$4.57	$7.08	$24.55