Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $56.23 / $208.93	Facility		$7.94	$56.23	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $15.49 / $112.20	Professional		$2.00	$15.49	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $0.44 / $0.44	Facility		$0.44	$0.44	$0.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.35 / $0.44	Professional		$0.35	$0.35	$0.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.49 / $0.58	Facility		$0.36	$0.49	$0.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.40 / $0.81	Professional		$0.36	$0.40	$0.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.95 / $2.24	Facility		$0.34	$0.95	$2.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $0.39 / $0.65	Professional		$0.34	$0.39	$0.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.37 / $13.49	Facility		$0.36	$0.37	$13.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $0.72 / $39.81	Professional		$0.54	$0.72	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.47 / $22.39	Facility		$0.45	$0.47	$22.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.45 / $0.50 / $512.86	Professional		$0.45	$0.50	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $58.88 / $70.79	Professional		$32.36	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.65 / $1.51	Professional		$0.35	$0.65	$1.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.34 / $100.00	Facility		$0.34	$0.34	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.34 / $1.26 / $512.86	Professional		$0.34	$1.26	$512.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.87 / $4.79 / $22.91	Professional		$0.87	$4.79	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $0.50	Facility		$0.50	$0.50	$0.50
United Facility/Professional Professional Modifier Low / Median / High Price $0.35 / $0.37 / $0.50	Professional		$0.35	$0.37	$0.50