Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.30 / $15.49	Facility		$6.03	$12.30	$15.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $7.24	Professional		$3.98	$5.01	$7.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $15.49	Facility		$12.02	$15.14	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $20.42	Professional		$2.75	$2.75	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Facility		$4.27	$4.27	$4.27
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 $6.17 / $7.76 / $17.38	Professional		$6.17	$7.76	$17.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $12.30 / $36.31	Facility		$5.01	$12.30	$36.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $5.25 / $100.00	Facility		$4.37	$5.25	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.80 / $11.22	Professional		$3.02	$3.80	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $16.22 / $64.57	Professional		$4.79	$16.22	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $87.10	Professional		$7.24	$14.45	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $100.00	Facility		$11.22	$11.22	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.80 / $5.50	Professional		$2.95	$3.80	$5.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $19.50	Professional		$11.75	$11.75	$19.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $38.90	Professional		$19.50	$19.50	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.90 / $6.61	Facility		$4.17	$4.90	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.80 / $12.30	Professional		$2.69	$3.80	$12.30