Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $5.37 / $870.96	Facility		$2.75	$5.37	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $89.13	Professional		$2.00	$2.00	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $3.39 / $3.39	Facility		$3.39	$3.39	$3.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $3.39	Professional		$2.69	$2.69	$3.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $3.80 / $5.25	Facility		$2.82	$3.80	$5.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $2.95 / $6.46	Professional		$2.82	$2.95	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.14 / $3.47 / $4.37	Facility		$2.14	$3.47	$4.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.82 / $5.50	Professional		$2.69	$2.82	$5.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $2.88 / $41.69	Facility		$2.82	$2.88	$41.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $5.62 / $125.89	Professional		$2.45	$5.62	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $1.62 / $41.69	Facility		$1.58	$1.62	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $1.78 / $1,819.70	Professional		$1.58	$1.78	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $64.57 / $70.79	Professional		$4.68	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $4.68 / $10.47	Professional		$2.69	$4.68	$10.47
Quartz Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $2.69 / $223.87	Facility		$2.69	$2.69	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $16.98 / $1,819.70	Professional		$2.69	$16.98	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $48.98 / $70.79	Professional		$3.02	$48.98	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $2.51 / $2.51	Facility		$2.51	$2.51	$2.51
United Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.82 / $3.16	Professional		$2.69	$2.82	$3.16