Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $34.67 / $724.44	Facility		$5.25	$34.67	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $64.57	Professional		$2.00	$3.02	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.23 / $10.47	Facility		$8.32	$10.23	$10.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $1.91 / $15.49	Professional		$1.91	$1.91	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.63	Facility		$2.63	$2.63	$2.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $19.95	Facility		$10.72	$12.59	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $5.62 / $12.02	Professional		$4.57	$5.62	$12.02
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $8.32 / $30.20	Facility		$3.39	$8.32	$30.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.80 / $85.11	Facility		$3.09	$3.80	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.29 / $3.24 / $8.71	Professional		$2.29	$3.24	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $13.49 / $64.57	Professional		$3.80	$13.49	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $9.55 / $57.54	Professional		$4.68	$9.55	$57.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $85.11	Facility		$7.59	$7.59	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.45 / $3.63	Professional		$2.04	$2.45	$3.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $17.38	Professional		$8.13	$8.13	$17.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $21.38	Professional		$16.60	$17.38	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $2.88 / $3.39 / $954.99	Facility		$2.88	$3.39	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $1.91 / $3.16 / $9.55	Professional		$1.91	$3.16	$9.55