Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $46.77 / $181.97	Facility		$19.95	$46.77	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $19.95	Professional		$12.02	$14.13	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $45.71 / $46.77	Facility		$36.31	$45.71	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $8.32 / $67.61	Professional		$8.32	$8.32	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $54.95 / $87.10	Facility		$46.77	$54.95	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $52.48	Professional		$19.95	$24.55	$52.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $36.31 / $134.90	Facility		$14.79	$36.31	$134.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.85 / $112.20	Facility		$13.49	$15.85	$112.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $38.02	Professional		$10.23	$13.80	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $33.11 / $64.57	Professional		$8.51	$33.11	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $104.71	Professional		$21.88	$43.65	$104.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $112.20	Facility		$33.88	$33.88	$112.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $16.60	Professional		$8.91	$11.22	$16.60
Security Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $63.10	Professional		$36.31	$36.31	$63.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $104.71	Professional		$51.29	$63.10	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.79 / $20.42	Facility		$12.59	$14.79	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.80 / $41.69	Professional		$8.51	$13.80	$41.69