Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $25.12 / $199.53	Facility		$12.88	$25.12	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $13.80	Professional		$7.94	$8.91	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.51 / $30.20	Facility		$23.99	$29.51	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $44.67	Professional		$4.47	$4.47	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $35.48 / $57.54	Facility		$30.90	$35.48	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $41.69 / $46.77	Professional		$15.85	$41.69	$46.77
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $48.98 / $67.61	Facility		$10.96	$48.98	$67.61
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $60.26 / $67.61	Professional		$30.90	$60.26	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $13.18 / $21.88	Facility		$8.51	$13.18	$21.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.72 / $181.97	Professional		$6.46	$10.72	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $33.11 / $70.79	Professional		$9.77	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $30.90 / $48.98	Professional		$17.78	$30.90	$48.98
Quartz Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $169.82 / $169.82	Facility		$21.88	$169.82	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $181.97 / $181.97	Professional		$28.18	$181.97	$181.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $29.51	Professional		$8.13	$8.13	$29.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $31.62 / $74.13	Professional		$8.13	$31.62	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.61 / $21.38	Professional		$4.79	$6.61	$21.38