Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Facility		$7.08	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $10.96	Professional		$5.01	$7.08	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $22.91	Facility		$13.80	$13.80	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.88 / $15.49	Professional		$11.75	$12.88	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $13.80 / $28.84	Facility		$12.30	$13.80	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $41.69 / $67.61	Facility		$8.13	$41.69	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $19.50 / $26.30	Professional		$6.92	$19.50	$26.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $11.22 / $16.22	Facility		$6.61	$11.22	$16.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $25.12 / $30.90	Professional		$12.30	$25.12	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.49 / $79.43	Facility		$7.59	$13.49	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $15.49	Professional		$5.75	$7.24	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $35.48	Professional		$13.80	$20.89	$35.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $27.54 / $79.43	Facility		$8.13	$27.54	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $14.13 / $67.61	Professional		$6.92	$14.13	$67.61
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.03 / $8.71	Facility		$4.79	$6.03	$8.71
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.76 / $11.48	Professional		$4.47	$6.76	$11.48