Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $16.22 / $19.95	Facility		$7.94	$16.22	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $7.94	Professional		$5.01	$5.01	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.50 / $19.95	Facility		$15.85	$19.50	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $24.55	Professional		$2.95	$2.95	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $5.50 / $5.50	Facility		$5.50	$5.50	$5.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.91 / $37.15	Facility		$19.95	$22.91	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $22.91	Professional		$8.71	$10.96	$22.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $14.45 / $22.91	Facility		$5.01	$14.45	$22.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $6.61 / $100.00	Facility		$5.01	$6.61	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $4.37 / $13.49	Professional		$2.34	$4.37	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $10.96 / $64.57	Professional		$3.89	$10.96	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $18.62 / $29.51	Professional		$9.55	$18.62	$29.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $100.00	Facility		$14.45	$14.45	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.50	Professional		$3.80	$3.80	$5.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $134.90	Professional		$15.49	$15.49	$134.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $39.81 / $134.90	Professional		$14.45	$39.81	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.89 / $8.71	Facility		$4.27	$5.89	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $4.37 / $14.13	Professional		$2.40	$4.37	$14.13