Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $16.60 / $21.38	Facility		$8.91	$16.60	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $41.69	Professional		$7.94	$12.02	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.01 / $37.15	Professional		$4.27	$5.01	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $30.20	Facility		$11.75	$28.84	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $12.02	Professional		$11.75	$11.75	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $42.66 / $79.43	Facility		$28.84	$42.66	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.95 / $26.92	Professional		$10.47	$19.95	$26.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.59 / $26.30	Facility		$7.76	$12.59	$26.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.70 / $35.48	Professional		$22.39	$25.70	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $16.98 / $100.00	Facility		$8.71	$16.98	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $79.43	Professional		$12.59	$15.49	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.20 / $43.65	Professional		$14.13	$30.20	$43.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $79.43 / $100.00	Facility		$29.51	$79.43	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $70.79 / $79.43	Professional		$12.88	$70.79	$79.43
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Security Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $34.67 / $34.67	Professional		$16.22	$34.67	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $25.70	Professional		$12.02	$14.13	$25.70