Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $36.31 / $338.84	Facility		$2.14	$36.31	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $8.71	Professional		$2.00	$2.00	$8.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.57	Facility		$2.57	$2.57	$2.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.63	Professional		$2.04	$2.04	$2.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $3.31 / $3.55	Facility		$3.31	$3.31	$3.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $4.79 / $8.32	Facility		$2.04	$4.79	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.63 / $3.80	Professional		$2.09	$2.63	$3.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $2.34 / $5.01	Facility		$2.34	$2.34	$5.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $4.79 / $4.79	Professional		$1.35	$4.79	$4.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.45 / $5.75	Facility		$2.45	$2.45	$5.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $2.45 / $4.79	Professional		$2.45	$2.45	$4.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $64.57 / $85.11	Professional		$2.04	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.24 / $7.59	Professional		$2.04	$2.24	$7.59
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $100.00	Facility		$2.04	$2.04	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.63	Professional		$2.75	$2.75	$3.63
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 $2.04 / $2.04 / $3.31	Professional		$2.04	$2.04	$3.31