Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $58.88 / $269.15	Facility		$4.37	$58.88	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.66 / $9.55	Professional		$1.00	$1.66	$9.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $1.48 / $1.48	Facility		$1.48	$1.48	$1.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.51	Professional		$1.20	$1.20	$1.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $1.62	Facility		$1.55	$1.55	$1.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.91 / $3.31	Facility		$1.20	$1.91	$3.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.51 / $2.19	Professional		$1.20	$1.51	$2.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.10 / $2.14	Facility		$0.66	$1.10	$2.14
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.26 / $2.19 / $2.19	Professional		$0.26	$2.19	$2.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $22.39 / $58.88	Facility		$2.82	$22.39	$58.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $0.95 / $2.19	Professional		$0.95	$0.95	$2.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $64.57 / $85.11	Professional		$1.20	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.15 / $1.20 / $3.02	Professional		$1.15	$1.20	$3.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $1.20 / $100.00	Facility		$1.20	$1.20	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.20	Professional		$1.20	$1.20	$1.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.58 / $1.95	Professional		$1.58	$1.58	$1.95
United Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $0.83	Facility		$0.83	$0.83	$0.83
United Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $1.91	Professional		$1.20	$1.20	$1.91