Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $11.75 / $66.07	Facility		$5.01	$11.75	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.01	Professional		$3.02	$3.02	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $11.48 / $11.75	Facility		$9.12	$11.48	$11.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $16.98	Professional		$2.09	$2.09	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Facility		$3.24	$3.24	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.80 / $21.88	Facility		$11.75	$13.80	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $13.18	Professional		$5.01	$6.17	$13.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $9.33 / $33.88	Facility		$3.80	$9.33	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.98 / $70.79	Facility		$3.39	$3.98	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.55 / $10.47	Professional		$2.57	$3.55	$10.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $32.36 / $85.11	Professional		$2.14	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.72 / $15.14	Professional		$5.62	$10.72	$15.14
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $70.79	Facility		$8.51	$8.51	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.75 / $4.17	Professional		$2.24	$2.75	$4.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $17.78	Professional		$9.12	$9.12	$17.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $23.44	Professional		$17.78	$17.78	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $3.80 / $5.13	Facility		$3.24	$3.80	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.55 / $10.47	Professional		$2.14	$3.55	$10.47