Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $186.21 / $602.56	Facility		$5.89	$186.21	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $3.39 / $12.30	Professional		$2.00	$3.39	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $2.95 / $2.95	Facility		$2.95	$2.95	$2.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.02	Professional		$2.40	$2.40	$3.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.55	Facility		$3.39	$3.39	$3.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $5.01 / $8.71	Facility		$2.40	$5.01	$8.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $3.02 / $4.37	Professional		$2.45	$3.02	$4.37
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.40 / $5.01	Facility		$2.29	$2.40	$5.01
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $4.79 / $4.79	Professional		$0.79	$4.79	$4.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $32.36 / $125.89	Facility		$7.41	$32.36	$125.89
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 $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.57 / $7.08	Professional		$2.40	$2.57	$7.08
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.40 / $2.40 / $100.00	Facility		$2.40	$2.40	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.55 / $4.37	Professional		$3.09	$3.55	$4.37
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $2.29 / $2.29	Facility		$2.29	$2.29	$2.29
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $3.55	Professional		$2.40	$2.40	$3.55