Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $134.90 / $363.08	Facility		$9.33	$134.90	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $38.90	Professional		$8.91	$8.91	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $11.75	Professional		$9.12	$9.12	$11.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $14.45	Facility		$13.80	$13.80	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $21.88 / $38.02	Facility		$9.12	$21.88	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $16.98	Professional		$9.33	$11.75	$16.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $48.98	Facility		$9.77	$9.77	$48.98
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.50 / $19.50	Professional		$14.79	$19.50	$19.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $48.98 / $102.33	Facility		$9.12	$48.98	$102.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $19.50	Professional		$9.12	$9.12	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $64.57 / $85.11	Professional		$9.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.00 / $33.88	Professional		$9.12	$10.00	$33.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $100.00	Facility		$9.12	$9.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Security Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $67.61	Professional		$9.77	$9.77	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $14.79	Professional		$9.12	$9.12	$14.79