Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $53.70 / $100.00	Facility		$13.49	$53.70	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $12.30	Professional		$6.03	$7.94	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.99 / $24.55	Facility		$19.05	$23.99	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $35.48	Professional		$4.37	$4.37	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $24.55 / $25.12	Facility		$6.76	$24.55	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.18 / $45.71	Facility		$24.55	$28.18	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $27.54	Professional		$10.23	$12.88	$27.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.50 / $70.79	Facility		$7.94	$19.50	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.72 / $100.00	Facility		$7.24	$10.72	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.41 / $21.88	Professional		$5.25	$7.41	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $32.36 / $85.11	Professional		$8.91	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $22.91 / $83.18	Professional		$11.48	$22.91	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $100.00	Facility		$21.88	$21.88	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.89 / $8.71	Professional		$4.68	$5.89	$8.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $31.62	Professional		$19.05	$19.05	$31.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $35.48 / $54.95	Professional		$31.62	$35.48	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.94 / $10.72	Facility		$6.76	$7.94	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.24 / $21.88	Professional		$4.47	$7.24	$21.88