Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.02 / $3.98	Professional		$2.00	$3.02	$3.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $6.31	Facility		$3.89	$3.89	$6.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $3.55 / $4.37	Professional		$3.55	$3.55	$4.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Facility		$3.39	$3.39	$3.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.48 / $18.62	Facility		$10.00	$11.48	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $7.24	Professional		$4.47	$5.62	$7.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.72 / $3.89	Facility		$3.02	$3.72	$3.89
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.24	Professional		$3.24	$3.24	$3.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.72 / $85.11	Facility		$3.02	$3.72	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $6.76 / $15.85	Professional		$2.34	$6.76	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $64.57 / $89.13	Professional		$3.02	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.76 / $11.75	Professional		$3.89	$6.76	$11.75
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $85.11 / $85.11	Facility		$8.91	$85.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Professional		$1.62	$1.62	$1.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
United Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $5.25 / $15.85	Professional		$1.58	$5.25	$15.85