Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.38 / $21.38	Facility		$8.91	$17.38	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $11.48	Professional		$5.01	$6.03	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $21.38	Facility		$16.60	$20.89	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $30.90	Professional		$3.09	$3.09	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Facility		$5.62	$5.62	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $40.74	Facility		$21.88	$25.12	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.75 / $23.99	Professional		$9.12	$11.75	$23.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $16.60 / $40.74	Facility		$3.89	$16.60	$40.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $51.29	Professional		$46.77	$46.77	$51.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $7.76 / $26.92	Facility		$3.89	$7.76	$26.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.68 / $39.81	Professional		$3.47	$4.68	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $33.11 / $70.79	Professional		$8.13	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $25.70	Professional		$12.02	$18.20	$25.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Facility		$50.12	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $38.90 / $40.74	Professional		$3.72	$38.90	$40.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $107.15	Professional		$16.60	$16.60	$107.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $42.66 / $107.15	Professional		$20.89	$42.66	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $6.17 / $9.33	Facility		$3.98	$6.17	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.68 / $12.88	Professional		$3.24	$4.68	$12.88