Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.29 / $1.86 / $3.72	Facility		$1.29	$1.86	$3.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $2.14	Professional		$1.00	$1.00	$2.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.55 / $1.55 / $1.55	Facility		$1.55	$1.55	$1.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.26 / $1.58	Professional		$1.26	$1.26	$1.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $3.47 / $4.79	Facility		$2.51	$3.47	$4.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $2.82 / $5.89	Professional		$2.51	$2.82	$5.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $3.16 / $4.47	Facility		$1.26	$3.16	$4.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.32 / $2.51	Professional		$1.26	$1.32	$2.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.51 / $3.63	Facility		$1.66	$2.51	$3.63
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $5.13 / $8.51	Professional		$1.95	$5.13	$8.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.35 / $2.45	Facility		$1.32	$1.35	$2.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.74 / $851.14	Professional		$1.35	$1.74	$851.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $3.24 / $7.94	Professional		$1.26	$3.24	$7.94
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $100.00	Facility		$1.26	$1.26	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.78 / $851.14	Professional		$1.26	$1.78	$851.14
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1.12 / $1.66 / $3.47	Professional		$1.12	$1.66	$3.47
United Facility/Professional Facility Modifier Low / Median / High Price $1.26 / $1.26 / $1.26	Facility		$1.26	$1.26	$1.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.26 / $1.32 / $9.12	Professional		$1.26	$1.32	$9.12