Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $11.48 / $11.48	Facility		$3.98	$11.48	$11.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $10.47 / $51.29	Professional		$3.98	$10.47	$51.29
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $9.77 / $10.47 / $34.67	Professional	25	$9.77	$10.47	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.31 / $15.85	Professional		$4.57	$6.31	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $4.27 / $7.41	Facility		$3.09	$4.27	$7.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $5.62 / $9.33	Professional		$3.55	$5.62	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $15.49 / $22.91	Facility		$11.75	$15.49	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $6.03 / $16.98	Professional		$3.02	$6.03	$16.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $5.01 / $8.32	Facility		$4.17	$5.01	$8.32
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $12.30	Professional		$6.03	$7.94	$12.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $5.01 / $8.32	Facility		$4.17	$5.01	$8.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $9.77 / $29.51	Professional		$5.50	$9.77	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.71 / $14.45	Professional		$5.62	$8.71	$14.45
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $70.79	Facility		$10.23	$10.23	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.07 / $29.51	Professional		$3.02	$4.07	$29.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $13.18 / $22.91	Professional		$5.50	$13.18	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $16.98	Professional		$5.13	$7.76	$16.98