Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,630.27 / $5,011.87	Facility		$977.24	$2,630.27	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $416.87 / $1,023.29	Professional		$6.03	$416.87	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.68 / $0.78 / $0.79	Facility		$0.68	$0.78	$0.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.45	Professional		$0.36	$0.36	$0.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.45 / $0.45 / $0.47	Facility		$0.45	$0.45	$0.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.69 / $1.20	Facility		$0.36	$0.69	$1.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.38 / $0.47 / $0.66	Professional		$0.38	$0.47	$0.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.32 / $1.00	Facility		$0.32	$0.32	$1.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.31 / $0.31 / $3.47	Facility		$0.31	$0.31	$3.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $0.47	Professional		$0.31	$0.31	$0.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.36 / $85.11	Professional		$0.31	$0.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.37 / $1.17	Professional		$0.36	$0.37	$1.17
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.36 / $0.36 / $100.00	Facility		$0.36	$0.36	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.36	Professional		$0.36	$0.36	$0.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.31 / $0.31 / $1.26	Professional		$0.31	$0.31	$1.26
United Facility/Professional Facility Modifier Low / Median / High Price $0.33 / $0.33 / $0.36	Facility		$0.33	$0.33	$0.36
United Facility/Professional Professional Modifier Low / Median / High Price $0.36 / $0.36 / $0.58	Professional		$0.36	$0.36	$0.58