Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $77.62 / $128.82	Facility		$38.90	$77.62	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $48.98	Professional		$6.03	$12.02	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.91 / $23.44	Facility		$18.62	$22.91	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $30.20	Professional		$5.13	$5.13	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $21.38 / $21.88	Facility		$5.13	$21.38	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Professional		$8.71	$8.71	$8.71
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 $10.00 / $12.30 / $29.51	Professional		$10.00	$12.30	$29.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $17.38 / $50.12	Facility		$5.62	$17.38	$50.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $60.26 / $104.71	Facility		$10.23	$60.26	$104.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.71 / $15.85	Professional		$5.13	$8.71	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $22.39 / $64.57	Professional		$8.71	$22.39	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $21.88 / $38.90	Professional		$11.22	$21.88	$38.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $60.26	Facility		$17.38	$17.38	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.27 / $6.31	Professional		$4.27	$4.27	$6.31
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $18.20	Professional		$10.47	$10.47	$18.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $25.12 / $47.86	Professional		$10.47	$25.12	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.92 / $10.23	Facility		$4.79	$6.92	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.71 / $18.20	Professional		$5.13	$8.71	$18.20