Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $44.67 / $79.43	Facility		$22.39	$44.67	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.46 / $33.88	Professional		$3.89	$6.46	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.49 / $15.85	Facility		$12.59	$15.49	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $3.47 / $20.42	Professional		$3.47	$3.47	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $14.45 / $14.79	Facility		$4.37	$14.45	$14.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Professional		$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $30.20	Facility		$16.22	$19.05	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $19.95	Professional		$6.61	$8.32	$19.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $11.75 / $33.88	Facility		$3.80	$11.75	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $30.20 / $100.00	Facility		$4.37	$30.20	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.75 / $12.02	Professional		$3.47	$5.75	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $15.14 / $64.57	Professional		$2.88	$15.14	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.79 / $47.86	Professional		$7.24	$14.79	$47.86
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $100.00	Facility		$11.75	$11.75	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.82 / $4.17	Professional		$2.75	$2.82	$4.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $12.30	Professional		$8.51	$8.51	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.98 / $32.36	Professional		$8.51	$16.98	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.68 / $6.92	Facility		$3.24	$4.68	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.75 / $12.59	Professional		$3.47	$5.75	$12.59