Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $91.20 / $323.59	Facility		$5.50	$91.20	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $11.22	Professional		$2.00	$2.00	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $3.47 / $3.47	Facility		$3.47	$3.47	$3.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.55	Professional		$2.75	$2.75	$3.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $3.72 / $4.37	Facility		$2.75	$3.72	$4.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.02 / $6.31	Professional		$2.75	$3.02	$6.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.01 / $11.75	Facility		$2.75	$5.01	$11.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.88 / $5.13	Professional		$2.75	$2.88	$5.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.82 / $6.31	Facility		$2.75	$2.82	$6.31
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $5.50 / $13.18	Professional		$3.16	$5.50	$13.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.82 / $29.51	Facility		$2.69	$2.82	$29.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $3.02 / $588.84	Professional		$2.69	$3.02	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $64.57 / $70.79	Professional		$2.75	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $4.27 / $9.33	Professional		$2.75	$4.27	$9.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $100.00	Facility		$2.75	$2.75	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $5.62 / $588.84	Professional		$2.75	$5.62	$588.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.98	Professional		$3.24	$3.24	$3.98
United Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Facility		$3.02	$3.02	$3.02
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.95 / $3.31	Professional		$2.75	$2.95	$3.31