Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $31.62 / $100.00	Facility		$17.38	$31.62	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $26.30	Professional		$7.94	$10.00	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $30.90 / $31.62	Facility		$24.55	$30.90	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $45.71	Professional		$5.75	$5.75	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $58.88	Facility		$31.62	$37.15	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $36.31	Professional		$13.18	$16.60	$36.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $25.12 / $91.20	Facility		$10.23	$25.12	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.96 / $60.26	Facility		$9.12	$10.96	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $26.30	Professional		$6.76	$9.55	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $32.36 / $64.57	Professional		$9.77	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $29.51 / $48.98	Professional		$15.14	$29.51	$48.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $60.26	Facility		$24.55	$24.55	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $11.22	Professional		$6.17	$7.76	$11.22
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $35.48	Professional		$24.55	$24.55	$35.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $63.10	Professional		$35.48	$38.90	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.23 / $13.80	Facility		$8.71	$10.23	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $9.33 / $28.84	Professional		$4.79	$9.33	$28.84