Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $15.49 / $309.03	Facility		$5.37	$15.49	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $60.26	Professional		$5.01	$5.01	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.76 / $7.76	Professional		$5.13	$7.76	$7.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $7.41 / $10.00	Facility		$5.25	$7.41	$10.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.89 / $8.13	Professional		$5.25	$5.89	$8.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $6.76 / $12.30	Facility		$5.13	$6.76	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.50 / $10.47	Professional		$5.13	$5.50	$10.47
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.25 / $7.41	Facility		$3.31	$5.25	$7.41
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $10.72 / $10.96	Professional		$0.79	$10.72	$10.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.25 / $7.59	Facility		$3.98	$5.25	$7.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $5.89 / $97.72	Professional		$5.25	$5.89	$97.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $64.57 / $70.79	Professional		$9.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.13 / $15.85	Professional		$5.13	$8.13	$15.85
Quartz Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $380.19	Facility		$5.13	$5.13	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.91 / $97.72	Professional		$5.13	$8.91	$97.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $8.51	Professional		$6.92	$6.92	$8.51
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $5.13	Facility		$5.13	$5.13	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.50 / $6.17	Professional		$5.13	$5.50	$6.17