Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $26.92	Facility		$10.96	$21.88	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $12.88	Professional		$6.03	$7.94	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $26.30 / $26.92	Facility		$21.38	$26.30	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $39.81	Professional		$4.37	$4.37	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $31.62 / $50.12	Facility		$26.92	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $33.88	Professional		$11.22	$13.80	$33.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $19.50 / $70.79	Facility		$7.94	$19.50	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $8.91 / $100.00	Facility		$7.76	$8.91	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.72 / $19.95	Professional		$5.89	$10.72	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $32.36 / $85.11	Professional		$9.77	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $25.12 / $53.70	Professional		$12.59	$25.12	$53.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $100.00 / $100.00	Facility		$19.50	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.89 / $8.71	Professional		$5.25	$5.89	$8.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $47.86 / $69.18	Professional		$11.22	$47.86	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $7.94 / $11.75	Facility		$6.76	$7.94	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.77 / $22.39	Professional		$5.89	$9.77	$22.39