Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $38.02 / $58.88	Facility		$14.13	$38.02	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.68 / $23.44	Professional		$3.98	$4.68	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.80 / $14.13	Facility		$11.22	$13.80	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $2.57 / $20.89	Professional		$2.57	$2.57	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $14.45 / $14.45	Facility		$3.98	$14.45	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Professional		$5.13	$5.13	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.98 / $26.92	Facility		$14.45	$16.98	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $16.22	Professional		$5.75	$7.24	$16.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $11.22 / $41.69	Facility		$4.57	$11.22	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $6.17 / $63.10	Facility		$4.17	$6.17	$63.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.27 / $11.75	Professional		$3.02	$4.27	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $18.20 / $64.57	Professional		$5.13	$18.20	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.49 / $100.00	Professional		$6.92	$13.49	$100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $100.00	Facility		$10.47	$10.47	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.47 / $5.01	Professional		$2.75	$3.47	$5.01
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $10.96	Professional		$6.46	$6.46	$10.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $26.30 / $39.81	Professional		$6.46	$26.30	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $4.57 / $6.17	Facility		$3.89	$4.57	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $4.17 / $12.88	Professional		$2.57	$4.17	$12.88