Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1,445.44 / $2,951.21	Facility		$1.29	$1,445.44	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $3.47 / $77.62	Professional		$1.12	$3.47	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.81 / $0.81 / $0.81	Facility		$0.81	$0.81	$0.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.65 / $0.81	Professional		$0.65	$0.65	$0.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.70 / $2.29	Facility		$1.23	$1.70	$2.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.35 / $1.86	Professional		$1.23	$1.35	$1.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $2.19 / $4.47	Facility		$0.65	$2.19	$4.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.71 / $1.20	Professional		$0.65	$0.71	$1.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.26 / $11.48	Facility		$1.23	$1.26	$11.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $2.45 / $70.79	Professional		$1.82	$2.45	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.62 / $11.48	Facility		$1.58	$1.62	$11.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.78 / $1,905.46	Professional		$1.58	$1.78	$1,905.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $2.04 / $4.68	Professional		$0.65	$2.04	$4.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.65 / $0.65 / $100.00	Facility		$0.65	$0.65	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $2.82 / $1,905.46	Professional		$0.65	$2.82	$1,905.46
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $5.13 / $19.50	Professional		$1.35	$5.13	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Facility		$1.78	$1.78	$1.78
United Facility/Professional Professional Modifier Low / Median / High Price $0.65 / $0.69 / $0.98	Professional		$0.65	$0.69	$0.98