Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $17,782.79	Facility		$10.00	$10.00	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $6.03 / $10.00	Professional		$2.00	$6.03	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $25.70	Facility		$19.95	$25.12	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $1.20 / $13.80	Professional		$1.20	$1.20	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $1.91 / $1.91	Facility		$1.91	$1.91	$1.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.18 / $45.71	Facility		$24.55	$28.18	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.58 / $11.75 / $27.54	Professional		$1.58	$11.75	$27.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $10.96 / $19.05	Facility		$4.47	$10.96	$19.05
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $2.40 / $2.40	Professional		$2.40	$2.40	$2.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $7.08 / $79.43	Facility		$3.02	$7.08	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.02 / $8.32	Professional		$1.82	$3.02	$8.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.48 / $4.68 / $64.57	Professional		$1.48	$4.68	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.38 / $29.51	Professional		$10.00	$21.38	$29.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $79.43	Facility		$18.20	$18.20	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.45 / $1.45 / $1.58	Professional		$1.45	$1.45	$1.58
Security Health Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $3.72	Professional		$3.72	$3.72	$3.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.92 / $33.11	Professional		$4.68	$6.92	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $1.66 / $2.40 / $7.24	Facility		$1.66	$2.40	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $3.02 / $9.33	Professional		$1.82	$3.02	$9.33