Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $87.10 / $234.42	Facility		$13.80	$87.10	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $11.48	Professional		$6.03	$6.03	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $8.51	Professional		$6.76	$6.76	$8.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.96	Facility		$10.23	$10.23	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.02 / $20.89	Facility		$6.76	$12.02	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $12.30	Professional		$6.76	$8.51	$12.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.41 / $16.22	Facility		$6.31	$7.41	$16.22
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $14.79 / $14.79	Professional		$0.54	$14.79	$14.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $41.69 / $117.49	Facility		$6.17	$41.69	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $12.30	Professional		$6.17	$6.17	$12.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $64.57 / $85.11	Professional		$6.76	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $21.88	Professional		$6.76	$8.51	$21.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $100.00	Facility		$6.76	$6.76	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $14.13	Professional		$8.51	$11.48	$14.13
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $10.00	Professional		$6.76	$6.76	$10.00