Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $50.12 / $50.12	Facility		$20.89	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $20.89	Professional		$12.02	$14.13	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $48.98 / $50.12	Facility		$38.90	$48.98	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $63.10	Professional		$2.09	$2.09	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $57.54 / $93.33	Facility		$50.12	$57.54	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $56.23	Professional		$20.42	$25.70	$56.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $63.10 / $104.71	Facility		$12.59	$63.10	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $16.98 / $85.11	Facility		$9.55	$16.98	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $32.36	Professional		$9.12	$10.96	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $85.11	Professional		$26.92	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $41.69 / $58.88	Professional		$23.44	$41.69	$58.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $85.11	Facility		$36.31	$36.31	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Professional		$9.55	$9.55	$9.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $138.04	Professional		$52.48	$97.72	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $21.88	Facility		$14.45	$14.45	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $34.67	Professional		$7.59	$10.96	$34.67