Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $57.54 / $93.33	Facility		$12.88	$57.54	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.89 / $19.05	Professional		$3.02	$3.89	$19.05
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 / $12.02 / $12.02	Facility		$3.24	$12.02	$12.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $4.27	Professional		$4.27	$4.27	$4.27
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 $3.80 / $34.67 / $81.28	Facility		$3.80	$34.67	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $3.55 / $9.77	Professional		$2.57	$3.55	$9.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $32.36 / $85.11	Professional		$4.27	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $10.96 / $36.31	Professional		$5.62	$10.96	$36.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $100.00	Facility		$8.51	$8.51	$100.00
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 / $10.23	Professional		$9.12	$9.12	$10.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $23.99	Professional		$10.23	$10.23	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.80 / $5.13	Facility		$2.14	$3.80	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $3.47 / $10.47	Professional		$2.14	$3.47	$10.47