Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $41.69 / $107.15	Facility		$8.51	$41.69	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $10.96 / $32.36	Professional		$3.98	$10.96	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $13.49 / $13.80	Facility		$10.72	$13.49	$13.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.82 / $19.95	Professional		$2.82	$2.82	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Professional		$5.01	$5.01	$5.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $25.12	Facility		$13.49	$15.85	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $16.98	Professional		$5.75	$7.24	$16.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $10.96 / $39.81	Facility		$2.63	$10.96	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $6.03 / $54.95	Facility		$2.63	$6.03	$54.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.92 / $13.80	Professional		$3.98	$6.92	$13.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $17.78 / $64.57	Professional		$3.47	$17.78	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.88 / $30.90	Professional		$6.46	$12.88	$30.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $79.43	Facility		$10.00	$10.00	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $2.63 / $3.24	Professional		$2.63	$2.63	$3.24
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $10.72	Professional		$9.33	$9.33	$10.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $27.54	Professional		$9.33	$9.33	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.47 / $6.03	Facility		$3.98	$4.47	$6.03
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $13.80	Professional		$3.02	$5.01	$13.80