Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $67.61 / $83.18	Facility		$61.66	$67.61	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $60.26 / $85.11	Professional		$25.12	$60.26	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $81.28 / $83.18	Facility		$64.57	$81.28	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $104.71	Professional		$12.02	$12.02	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $75.86 / $75.86	Facility		$17.38	$75.86	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $154.88	Facility		$83.18	$97.72	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $93.33	Professional		$34.67	$43.65	$93.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $67.61 / $95.50	Facility		$10.72	$67.61	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.92 / $141.25	Facility		$10.72	$26.92	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $46.77	Professional		$10.00	$18.20	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $32.36 / $64.57	Professional		$16.22	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $123.03	Professional		$38.90	$75.86	$123.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $141.25	Facility		$60.26	$141.25	$141.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $11.75	Professional		$7.94	$8.13	$11.75
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $64.57	Professional		$30.90	$30.90	$64.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $47.86 / $165.96	Professional		$30.90	$47.86	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.99 / $36.31	Facility		$15.14	$23.99	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $18.20 / $53.70	Professional		$10.00	$18.20	$53.70