Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $186.21	Facility		$4.57	$4.57	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $1.32 / $22.91	Professional		$0.02	$1.32	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.63 / $0.63 / $1.05	Facility		$0.63	$0.63	$1.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.59 / $0.59 / $0.69	Professional		$0.59	$0.59	$0.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.56 / $0.65 / $1.00	Facility		$0.56	$0.65	$1.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $1.32	Professional		$0.60	$0.60	$1.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $2.09 / $3.39	Facility		$1.82	$2.09	$3.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.93 / $1.20	Professional		$0.31	$0.93	$1.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.43 / $0.65	Facility		$0.32	$0.43	$0.65
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $1.78 / $2.24	Professional		$0.56	$1.78	$2.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.46 / $1.26	Facility		$0.31	$0.46	$1.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $0.31 / $4.27	Professional		$0.26	$0.31	$4.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $33.11 / $70.79	Professional		$0.12	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.95 / $1.74	Professional		$0.63	$0.95	$1.74
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $79.43	Facility		$1.26	$1.26	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.93 / $4.37	Professional		$0.31	$0.93	$4.37
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Professional		$0.63	$0.63	$0.63
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.63 / $0.63 / $0.63	Professional		$0.63	$0.63	$0.63
United Facility/Professional Professional Modifier Low / Median / High Price $0.21 / $0.31 / $0.50	Professional		$0.21	$0.31	$0.50