Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $95.50 / $524.81	Facility		$16.98	$95.50	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $30.20 / $213.80	Professional		$16.98	$30.20	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.13	Professional		$0.10	$0.10	$0.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.17	Facility		$0.15	$0.15	$0.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.23 / $0.40	Facility		$0.10	$0.23	$0.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.15 / $0.25	Professional		$0.10	$0.15	$0.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.47	Facility		$0.11	$0.11	$0.47
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.13 / $0.13 / $0.13	Professional		$0.13	$0.13	$0.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.33 / $0.48	Facility		$0.12	$0.33	$0.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.12 / $0.95	Professional		$0.12	$0.12	$0.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.18 / $50.12 / $85.11	Professional		$0.18	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.12 / $1.07	Professional		$0.10	$0.12	$1.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $0.10 / $85.11	Facility		$0.10	$0.10	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.18 / $0.95	Professional		$0.10	$0.18	$0.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.15 / $0.27	Professional		$0.12	$0.15	$0.27
United Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.12 / $0.12	Facility		$0.12	$0.12	$0.12
United Facility/Professional Professional Modifier Low / Median / High Price $0.10 / $0.10 / $0.15	Professional		$0.10	$0.10	$0.15