Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $72.44 / $169.82	Facility		$3.98	$72.44	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.29	Professional		$1.00	$1.00	$2.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $1.66 / $1.66	Facility		$1.66	$1.66	$1.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.70	Professional		$1.32	$1.32	$1.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Facility		$1.95	$1.95	$2.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $4.17 / $7.24	Facility		$1.32	$4.17	$7.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.70 / $2.45	Professional		$1.35	$1.70	$2.45
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.38 / $1.38 / $2.88	Facility		$1.38	$1.38	$2.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.75 / $3.24	Professional		$2.09	$2.75	$3.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $21.88 / $43.65	Facility		$1.48	$21.88	$43.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $1.48 / $2.75	Professional		$1.48	$1.48	$2.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $64.57 / $85.11	Professional		$1.32	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.45 / $4.68	Professional		$1.32	$1.45	$4.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $100.00	Facility		$1.32	$1.32	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Professional		$1.32	$1.32	$1.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $3.24	Professional		$1.82	$1.82	$3.24
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.32 / $2.14	Professional		$1.32	$1.32	$2.14