Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $12.88 / $112.20	Facility		$6.03	$12.88	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $15.49	Professional		$3.98	$3.98	$15.49
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 $2.34 / $2.34 / $20.42	Professional		$2.34	$2.34	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $3.63 / $3.63	Facility		$3.63	$3.63	$3.63
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 $4.27 / $11.48 / $38.02	Facility		$4.27	$11.48	$38.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $5.25 / $100.00	Facility		$4.27	$5.25	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $6.31 / $11.75	Professional		$3.47	$6.31	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $16.60 / $64.57	Professional		$5.75	$16.60	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $14.79 / $33.11	Professional		$7.24	$14.79	$33.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $100.00	Facility		$11.48	$11.48	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $4.68	Professional		$3.09	$3.09	$4.68
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $13.80	Professional		$12.30	$12.30	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.05 / $32.36	Professional		$13.80	$19.05	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $4.68 / $6.92	Facility		$3.55	$4.68	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.75 / $12.30	Professional		$3.47	$5.75	$12.30