Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $169.82 / $389.05	Facility		$48.98	$169.82	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.08 / $75.86	Professional		$6.31	$7.08	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $22.91 / $23.44	Facility		$18.20	$22.91	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.31 / $33.88	Professional		$6.17	$6.31	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $23.44 / $23.99	Facility		$5.37	$23.44	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $27.54 / $43.65	Facility		$23.44	$27.54	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $26.30	Professional		$9.55	$11.75	$26.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $18.62 / $67.61	Facility		$6.76	$18.62	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $131.83 / $194.98	Facility		$25.70	$131.83	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.51 / $95.50	Professional		$5.01	$8.51	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $29.51 / $64.57	Professional		$8.51	$29.51	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $21.38 / $32.36	Professional		$10.72	$21.38	$32.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $79.43	Facility		$16.98	$16.98	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.50 / $8.32	Professional		$4.47	$5.50	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $18.20	Professional		$12.30	$12.30	$18.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $42.66 / $53.70	Professional		$12.30	$42.66	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $7.59 / $10.23	Facility		$4.27	$7.59	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.92 / $23.44	Professional		$4.27	$6.92	$23.44