Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $50.12 / $93.33	Facility		$2.63	$50.12	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.40 / $8.13	Professional		$1.00	$2.40	$8.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.10 / $1.10 / $1.10	Facility		$1.10	$1.10	$1.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $1.17	Professional		$0.87	$0.87	$1.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $1.70 / $1.82	Facility		$1.70	$1.70	$1.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $2.51 / $4.37	Facility		$0.87	$2.51	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.12 / $1.58	Professional		$0.89	$1.12	$1.58
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $2.88	Facility		$1.23	$1.23	$2.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.45 / $3.98	Professional		$1.82	$2.45	$3.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $10.47 / $16.98	Facility		$1.23	$10.47	$16.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $2.45	Professional		$1.23	$1.23	$2.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $64.57 / $85.11	Professional		$0.87	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $3.16 / $4.68	Professional		$0.87	$3.16	$4.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $0.87 / $100.00	Facility		$0.87	$0.87	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $0.87	Professional		$0.87	$0.87	$0.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $1.70 / $3.09	Professional		$1.70	$1.70	$3.09
United Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Facility		$1.20	$1.20	$1.20
United Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $0.87 / $1.38	Professional		$0.87	$0.87	$1.38