Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $74.13 / $120.23	Facility		$7.59	$74.13	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $8.51	Professional		$3.02	$3.02	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.89	Professional		$3.02	$3.02	$3.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.24	Facility		$3.02	$3.02	$3.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $10.00 / $17.38	Facility		$3.02	$10.00	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.80 / $5.62	Professional		$3.02	$3.80	$5.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $2.19 / $5.01	Facility		$2.19	$2.19	$5.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $4.37 / $4.37	Professional		$1.86	$4.37	$4.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $34.67 / $70.79	Facility		$4.57	$34.67	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.57 / $6.76	Professional		$4.37	$4.57	$6.76
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 $3.02 / $3.63 / $7.41	Professional		$3.02	$3.63	$7.41
Quartz Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $100.00	Facility		$3.02	$3.02	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $7.41	Professional		$6.03	$6.03	$7.41
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $4.68	Professional		$3.02	$3.02	$4.68