Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $6.03	Facility		$6.03	$6.03	$6.03
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 $6.76 / $6.76 / $11.22	Facility		$6.76	$6.76	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $7.76	Professional		$6.31	$6.31	$7.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Facility		$5.89	$5.89	$5.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.89 / $33.88	Facility		$18.20	$20.89	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $12.59	Professional		$7.94	$9.77	$12.59
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $6.61 / $6.92	Facility		$5.37	$6.61	$6.92
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $6.61 / $85.11	Facility		$5.37	$6.61	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $11.48 / $30.20	Professional		$4.27	$11.48	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $64.57 / $89.13	Professional		$7.41	$64.57	$89.13
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $11.48 / $19.05	Professional		$6.76	$11.48	$19.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $85.11 / $85.11	Facility		$16.22	$85.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $9.33 / $28.84	Professional		$2.88	$9.33	$28.84