Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $58.88 / $120.23	Facility		$19.05	$58.88	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $44.67	Professional		$8.91	$12.88	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $34.67	Facility		$26.92	$33.88	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $47.86	Professional		$8.13	$8.13	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $31.62 / $32.36	Facility		$7.08	$31.62	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $64.57	Facility		$33.88	$39.81	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.20 / $38.90	Professional		$14.45	$18.20	$38.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $25.12 / $87.10	Facility		$9.77	$25.12	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.22 / $60.26	Facility		$9.77	$11.22	$60.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $24.55	Professional		$6.31	$8.91	$24.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $32.36 / $85.11	Professional		$12.59	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $30.20 / $44.67	Professional		$16.22	$30.20	$44.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $1,096.48	Facility		$25.12	$25.12	$1,096.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.92 / $30.90	Professional		$6.61	$6.92	$30.90
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $26.92	Professional		$11.22	$11.22	$26.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $69.18	Professional		$11.22	$11.22	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.00 / $15.14	Facility		$8.13	$10.00	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.91 / $26.30	Professional		$5.37	$8.91	$26.30