Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $14.79 / $18.20	Facility		$7.08	$14.79	$18.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.08	Professional		$5.01	$5.01	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $17.78 / $18.20	Facility		$14.13	$17.78	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $3.31 / $26.30	Professional		$3.31	$3.31	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.89 / $33.88	Facility		$18.20	$20.89	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $20.89	Professional		$7.76	$9.77	$20.89
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $14.45 / $52.48	Facility		$5.89	$14.45	$52.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.31 / $309.03	Facility		$5.25	$6.31	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.50 / $15.14	Professional		$3.98	$5.50	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $32.36 / $85.11	Professional		$6.61	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.98 / $83.18	Professional		$8.51	$16.98	$83.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $309.03	Facility		$13.18	$13.18	$309.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.37 / $6.46	Professional		$3.55	$4.37	$6.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $112.20	Professional		$14.13	$14.13	$112.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $112.20	Professional		$26.30	$46.77	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.89 / $7.94	Facility		$5.01	$5.89	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.37 / $16.60	Professional		$3.31	$5.37	$16.60