Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $50.12 / $50.12	Facility		$21.88	$50.12	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $21.88	Professional		$12.02	$15.14	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $64.57	Professional		$9.33	$9.33	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $93.33	Facility		$50.12	$58.88	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $57.54	Professional		$20.89	$26.30	$57.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $63.10 / $107.15	Facility		$9.55	$63.10	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $17.38 / $87.10	Facility		$9.55	$17.38	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $10.96 / $33.11	Professional		$9.12	$10.96	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $85.11	Professional		$9.12	$9.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $60.26	Professional		$23.44	$42.66	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $87.10	Facility		$37.15	$37.15	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Professional		$9.77	$9.77	$9.77
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 $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $21.88	Facility		$14.79	$14.79	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.96 / $35.48	Professional		$7.76	$10.96	$35.48