Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $97.72 / $234.42	Facility		$3.09	$97.72	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.55 / $8.51	Professional		$1.00	$1.55	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $1.62 / $1.62	Facility		$1.62	$1.62	$1.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.62	Professional		$1.29	$1.29	$1.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.78 / $1.78 / $1.86	Facility		$1.78	$1.78	$1.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $2.69 / $4.68	Facility		$1.29	$2.69	$4.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.32 / $1.62 / $2.40	Professional		$1.32	$1.62	$2.40
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1.26 / $2.88	Facility		$1.00	$1.26	$2.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $2.51 / $2.51	Professional		$0.54	$2.51	$2.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $42.66 / $87.10	Facility		$3.39	$42.66	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.38 / $1.38 / $2.51	Professional		$1.38	$1.38	$2.51
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 $1.29 / $1.38 / $3.98	Professional		$1.29	$1.38	$3.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.29 / $100.00	Facility		$1.29	$1.29	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.29	Professional		$1.29	$1.29	$1.29
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.82 / $2.24	Professional		$1.58	$1.82	$2.24
United Facility/Professional Facility Modifier Low / Median / High Price $1.23 / $1.23 / $1.23	Facility		$1.23	$1.23	$1.23
United Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.29 / $1.95	Professional		$1.29	$1.29	$1.95