Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $69.18 / $109.65	Facility		$2.57	$69.18	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.41 / $4.27	Professional		$1.00	$1.41	$4.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.78	Facility		$1.78	$1.78	$1.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.78	Professional		$1.41	$1.41	$1.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Facility		$1.95	$1.95	$2.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $3.02 / $5.13	Facility		$1.41	$3.02	$5.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.78 / $2.57	Professional		$1.45	$1.78	$2.57
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.38 / $2.88	Facility		$0.66	$1.38	$2.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.75 / $2.75	Professional		$0.54	$2.75	$2.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $37.15 / $70.79	Facility		$1.32	$37.15	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.48 / $2.00	Professional		$1.32	$1.48	$2.00
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 $1.41 / $1.48 / $3.98	Professional		$1.41	$1.48	$3.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.41 / $1.41 / $100.00	Facility		$1.41	$1.41	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.41 / $1.41	Professional		$1.41	$1.41	$1.41
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.91 / $2.24 / $2.75	Professional		$0.91	$2.24	$2.75
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.58 / $1.58	Facility		$1.58	$1.58	$1.58
United Facility/Professional Professional Modifier Low / Median / High Price $1.41 / $1.58 / $2.14	Professional		$1.41	$1.58	$2.14