Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $70.79 / $147.91	Facility		$10.72	$70.79	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $10.72 / $39.81	Professional		$3.31	$10.72	$39.81
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 / $0.06	Professional		$0.05	$0.06	$0.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.24 / $100.00	Facility		$0.03	$0.24	$100.00
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 / $0.03 / $1.00	Professional		$0.03	$0.03	$1.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $85.11	Facility		$0.03	$0.03	$85.11
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 $0.03 / $0.03 / $0.04	Professional		$0.03	$0.03	$0.04
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