Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $17.78 / $17.78	Facility		$7.08	$17.78	$17.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $7.08	Professional		$3.98	$5.01	$7.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $17.38 / $17.78	Facility		$14.13	$17.38	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $25.70	Professional		$3.24	$3.24	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
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 $3.47 / $8.51 / $20.42	Professional		$3.47	$8.51	$20.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $14.13 / $52.48	Facility		$5.01	$14.13	$52.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $6.46 / $14.13	Facility		$3.47	$6.46	$14.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $7.76 / $16.22	Professional		$3.89	$7.76	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $22.91 / $85.11	Professional		$3.24	$22.91	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $15.14 / $22.39	Professional		$7.24	$15.14	$22.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $75.86	Facility		$12.88	$12.88	$75.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.47	Professional		$3.39	$3.39	$3.47
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $13.80	Professional		$6.76	$6.76	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $25.70 / $39.81	Professional		$6.76	$25.70	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $5.75 / $7.76	Facility		$4.90	$5.75	$7.76
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.46 / $16.22	Professional		$3.89	$6.46	$16.22