Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $31.62 / $31.62	Facility		$12.88	$31.62	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $12.88	Professional		$7.94	$8.91	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $40.74	Professional		$6.92	$6.92	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $37.15 / $58.88	Facility		$31.62	$37.15	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $36.31	Professional		$13.18	$16.60	$36.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $39.81 / $67.61	Facility		$6.03	$39.81	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.96 / $60.26	Facility		$6.03	$10.96	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.92 / $20.89	Professional		$5.75	$6.92	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $85.11	Professional		$5.75	$5.75	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $26.92 / $38.90	Professional		$15.14	$26.92	$38.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $60.26	Facility		$22.91	$22.91	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $6.17	Professional		$6.17	$6.17	$6.17
Security Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $13.80	Facility		$9.12	$9.12	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.92 / $22.39	Professional		$4.79	$6.92	$22.39