Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $7.94	Professional		$3.98	$6.03	$7.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $17.38	Facility		$10.47	$10.47	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.77 / $11.75	Professional		$8.71	$9.77	$11.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $32.36 / $52.48	Facility		$6.17	$32.36	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $15.14 / $19.95	Professional		$5.25	$15.14	$19.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $8.32 / $14.79	Facility		$5.01	$8.32	$14.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.50 / $24.55	Professional		$9.33	$19.50	$24.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $10.23 / $79.43	Facility		$5.89	$10.23	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.25 / $11.75	Professional		$4.37	$5.25	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $33.11 / $70.79	Professional		$7.59	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $27.54	Professional		$10.47	$15.85	$27.54
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $20.89 / $79.43	Facility		$6.17	$20.89	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.47 / $51.29	Professional		$5.25	$10.47	$51.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $4.37 / $6.61	Facility		$3.98	$4.37	$6.61
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $8.51	Professional		$3.39	$5.13	$8.51