Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.98 / $6.03	Professional		$3.02	$3.98	$6.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $13.49	Facility		$8.13	$8.13	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.59 / $9.12	Professional		$6.76	$7.59	$9.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $9.55 / $16.98	Facility		$7.24	$9.55	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $25.12 / $40.74	Facility		$4.79	$25.12	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $11.75 / $15.49	Professional		$4.07	$11.75	$15.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.76 / $11.48	Facility		$3.89	$6.76	$11.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.80 / $16.98	Professional		$7.24	$13.80	$16.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $7.94 / $79.43	Facility		$4.57	$7.94	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.17 / $8.71	Professional		$3.39	$4.17	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $33.11 / $70.79	Professional		$3.55	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $20.89	Professional		$8.13	$12.30	$20.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $16.22 / $79.43	Facility		$4.79	$16.22	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $8.71 / $39.81	Professional		$4.07	$8.71	$39.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Professional		$8.13	$8.13	$8.13
United Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.39 / $5.13	Facility		$3.09	$3.39	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.63 / $3.98 / $6.46	Professional		$2.63	$3.98	$6.46