Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.85 / $97.72	Facility		$7.08	$15.85	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $21.38	Professional		$3.98	$5.01	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.85 / $15.85	Facility		$12.59	$15.85	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $20.42	Professional		$2.34	$2.34	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Facility		$4.17	$4.17	$4.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $19.05 / $30.20	Facility		$16.22	$19.05	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $8.51 / $18.20	Professional		$3.09	$8.51	$18.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $12.59 / $33.88	Facility		$4.47	$12.59	$33.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Professional		$4.79	$4.79	$4.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $5.89 / $85.11	Facility		$4.47	$5.89	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.89 / $10.72	Professional		$3.47	$5.89	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $8.32 / $85.11	Professional		$2.88	$8.32	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $13.49 / $19.05	Professional		$6.46	$13.49	$19.05
Quartz Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $85.11	Facility		$11.75	$11.75	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $3.09	Professional		$2.88	$2.88	$3.09
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $12.30	Professional		$4.37	$4.37	$12.30
Security Health Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $16.98 / $36.31	Professional		$4.37	$16.98	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $4.68 / $7.08	Facility		$3.24	$4.68	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $5.89 / $12.30	Professional		$3.47	$5.89	$12.30