Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $45.71	Professional		$28.84	$37.15	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $151.36	Professional		$43.65	$66.07	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $43.65 / $69.18	Facility		$37.15	$43.65	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.95 / $38.90	Professional		$15.49	$19.95	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $35.48 / $45.71	Facility		$16.22	$35.48	$45.71
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $37.15 / $48.98	Facility		$16.22	$37.15	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $32.36 / $281.84	Professional		$15.14	$32.36	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $70.79	Professional		$33.11	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $85.11 / $123.03	Professional		$47.86	$85.11	$123.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $281.84	Facility		$91.20	$91.20	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $281.84	Professional		$162.18	$281.84	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $69.18 / $77.62	Professional		$19.95	$69.18	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $131.83	Facility		$100.00	$100.00	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.84 / $61.66	Professional		$15.14	$28.84	$61.66