Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $18.20	Professional		$10.96	$14.13	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $4.79 / $14.13	Professional		$2.34	$4.79	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $8.51 / $8.71	Facility		$5.25	$8.51	$8.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.51 / $9.55	Professional		$5.13	$8.51	$9.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $39.81 / $47.86	Facility		$22.39	$39.81	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $13.49 / $20.42	Professional		$7.41	$13.49	$20.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $14.13 / $18.20	Facility		$4.79	$14.13	$18.20
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Professional		$3.39	$3.39	$3.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $14.13 / $18.20	Facility		$4.07	$14.13	$18.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.55 / $40.74	Professional		$5.25	$9.55	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.41 / $12.30	Professional		$4.79	$7.41	$12.30
Quartz Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $70.79	Facility		$10.47	$10.47	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $19.05 / $40.74	Professional		$5.89	$19.05	$40.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.20 / $25.70	Professional		$11.22	$18.20	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.47 / $12.30	Facility		$9.33	$10.47	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.41 / $16.98	Professional		$4.90	$7.41	$16.98