Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $83.18 / $177.83	Facility		$15.49	$83.18	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $47.86	Professional		$3.98	$5.01	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.14 / $15.49	Facility		$12.02	$15.14	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $21.88	Professional		$2.69	$2.69	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $15.49 / $15.49	Facility		$3.55	$15.49	$15.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $5.62	Professional		$5.62	$5.62	$5.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $28.84	Facility		$15.49	$17.78	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $17.38	Professional		$6.17	$7.76	$17.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $12.02 / $43.65	Facility		$4.90	$12.02	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $46.77 / $100.00	Facility		$4.90	$46.77	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $4.57 / $12.59	Professional		$3.24	$4.57	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $11.22 / $64.57	Professional		$2.82	$11.22	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.45 / $87.10	Professional		$7.24	$14.45	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $100.00	Facility		$11.22	$11.22	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $3.63 / $5.50	Professional		$2.95	$3.63	$5.50
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $24.55	Professional		$12.02	$12.02	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $30.90	Professional		$24.55	$24.55	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.90 / $6.76	Facility		$4.17	$4.90	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $4.47 / $13.49	Professional		$2.82	$4.47	$13.49