Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $57.54 / $102.33	Facility		$7.41	$57.54	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.58 / $12.59	Professional		$1.38	$1.58	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.66 / $0.66	Facility		$0.66	$0.66	$0.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.68	Professional		$0.52	$0.52	$0.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.87	Facility		$0.83	$0.83	$0.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $1.15 / $2.00	Facility		$0.52	$1.15	$2.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.66 / $1.00	Professional		$0.52	$0.66	$1.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $0.59 / $6.31	Facility		$0.59	$0.59	$6.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.89 / $1.17 / $3.98	Professional		$0.89	$1.17	$3.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $10.47 / $17.78	Facility		$0.66	$10.47	$17.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.56 / $1.17	Professional		$0.56	$0.56	$1.17
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 $0.52 / $0.58 / $2.00	Professional		$0.52	$0.58	$2.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $239.88	Facility		$0.52	$0.52	$239.88
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Professional		$0.52	$0.52	$0.52
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $0.72 / $0.95	Professional		$0.72	$0.72	$0.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Facility		$0.52	$0.52	$0.52
United Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.85	Professional		$0.52	$0.52	$0.85