Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.88 / $15.85	Facility		$6.03	$12.88	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $6.03	Professional		$3.98	$5.01	$6.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.49 / $15.85	Facility		$12.30	$15.49	$15.85
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 $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $28.84	Facility		$15.49	$17.78	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $17.78	Professional		$6.61	$8.32	$17.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $12.59 / $45.71	Facility		$5.13	$12.59	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.37 / $60.26	Facility		$4.47	$5.37	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.68 / $12.88	Professional		$3.47	$4.68	$12.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $32.36 / $85.11	Professional		$4.90	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $47.86	Professional		$7.24	$14.45	$47.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Facility		$50.12	$50.12	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.80 / $5.50	Professional		$3.02	$3.80	$5.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $12.30	Professional		$5.89	$5.89	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $22.91 / $33.88	Professional		$5.89	$22.91	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $5.13 / $457.09	Facility		$2.88	$5.13	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.68 / $14.13	Professional		$2.88	$4.68	$14.13