Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.22 / $354.81	Facility		$8.32	$16.22	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $21.38	Professional		$7.94	$7.94	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $12.30	Professional		$8.13	$12.30	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $11.22 / $15.49	Facility		$8.13	$11.22	$15.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.12 / $19.05	Professional		$8.13	$9.12	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.59 / $22.91	Facility		$8.13	$12.59	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.51 / $16.60	Professional		$8.13	$8.51	$16.60
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.13 / $13.49	Facility		$5.62	$8.13	$13.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $14.79 / $16.60	Professional		$5.37	$14.79	$16.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.94 / $16.98	Facility		$6.31	$7.94	$16.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.71 / $104.71	Professional		$7.94	$8.71	$104.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $64.57 / $70.79	Professional		$23.44	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.59 / $25.12	Professional		$8.13	$12.59	$25.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $100.00	Facility		$8.13	$8.13	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $15.49 / $104.71	Professional		$8.13	$15.49	$104.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $13.49	Professional		$10.96	$10.96	$13.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $9.77	Professional		$8.13	$8.71	$9.77