Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $70.79 / $125.89	Facility		$8.71	$70.79	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $7.08 / $26.92	Professional		$1.74	$7.08	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $0.93 / $0.93	Facility		$0.93	$0.93	$0.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.74 / $0.93	Professional		$0.74	$0.74	$0.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $1.17 / $1.23	Facility		$1.17	$1.17	$1.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $1.91 / $3.31	Facility		$0.74	$1.91	$3.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $0.93 / $1.38	Professional		$0.76	$0.93	$1.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.83 / $0.83 / $1.66	Facility		$0.83	$0.83	$1.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.07 / $1.70 / $1.70	Professional		$1.07	$1.70	$1.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $9.33 / $18.20	Facility		$1.55	$9.33	$18.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $0.85 / $1.70	Professional		$0.85	$0.85	$1.70
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 $0.74 / $0.89 / $3.31	Professional		$0.74	$0.89	$3.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $100.00	Facility		$0.74	$0.74	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.74 / $0.74	Professional		$0.74	$0.74	$0.74
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $2.14	Professional		$1.23	$1.23	$2.14
United Facility/Professional Facility Modifier Low / Median / High Price $0.87 / $0.87 / $0.87	Facility		$0.87	$0.87	$0.87
United Facility/Professional Professional Modifier Low / Median / High Price $0.74 / $0.74 / $1.17	Professional		$0.74	$0.74	$1.17