Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $10.72 / $13.49	Facility		$5.01	$10.72	$13.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $5.01	Professional		$3.02	$3.02	$5.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $13.18 / $13.49	Facility		$10.47	$13.18	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $1.95 / $16.98	Professional		$1.95	$1.95	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
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 / $15.14	Professional		$5.75	$7.24	$15.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $9.77 / $29.51	Facility		$3.31	$9.77	$29.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $4.27 / $100.00	Facility		$3.31	$4.27	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.09 / $9.12	Professional		$2.69	$3.09	$9.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $7.59 / $64.57	Professional		$2.45	$7.59	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $12.59 / $29.51	Professional		$6.46	$12.59	$29.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $100.00	Facility		$9.77	$9.77	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $3.63	Professional		$2.45	$2.45	$3.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $10.23	Professional		$3.80	$3.80	$10.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $14.45 / $26.92	Professional		$3.80	$14.45	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.89 / $5.75	Facility		$2.75	$3.89	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $3.09 / $9.33	Professional		$2.04	$3.09	$9.33