Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $123.03 / $741.31	Facility		$12.88	$123.03	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $29.51 / $1,380.38	Professional		$1.51	$29.51	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.33	Professional		$0.22	$0.22	$0.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.31 / $0.54	Facility		$0.22	$0.31	$0.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.23 / $0.30	Professional		$0.22	$0.23	$0.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.34 / $0.79	Facility		$0.22	$0.34	$0.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.28 / $0.65	Professional		$0.22	$0.28	$0.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.45	Facility		$0.22	$0.22	$0.45
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $0.24 / $0.26 / $0.40	Professional		$0.24	$0.26	$0.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.23 / $0.71	Facility		$0.22	$0.23	$0.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $575.44	Professional		$0.22	$0.22	$575.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $50.12 / $70.79	Professional		$0.22	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.37 / $1.02	Professional		$0.22	$0.37	$1.02
Quartz Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $85.11 / $100.00	Facility		$0.22	$85.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.49 / $575.44	Professional		$0.22	$0.49	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.30 / $0.37	Professional		$0.23	$0.30	$0.37
United Facility/Professional Facility Modifier Low / Median / High Price $0.22 / $0.22 / $0.22	Facility		$0.22	$0.22	$0.22
United Facility/Professional Professional Modifier Low / Median / High Price $0.22 / $0.22 / $0.31	Professional		$0.22	$0.22	$0.31