Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $144.54 / $2,089.30	Facility		$64.57	$144.54	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $61.66 / $181.97	Professional		$3.98	$61.66	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.04 / $0.04 / $0.04	Facility		$0.04	$0.04	$0.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.08 / $0.13	Facility		$0.03	$0.08	$0.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.05	Professional		$0.04	$0.04	$0.05
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.71	Facility		$0.03	$0.03	$0.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.05 / $0.06 / $0.26	Professional		$0.05	$0.06	$0.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.71	Facility		$0.03	$0.03	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.06	Professional		$0.03	$0.03	$0.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.78 / $1.10	Professional		$0.03	$0.78	$1.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $100.00	Facility		$0.03	$0.03	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Professional		$0.03	$0.03	$0.03
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.04 / $0.04 / $0.52	Professional		$0.04	$0.04	$0.52
United Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
United Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $0.05	Professional		$0.03	$0.03	$0.05