Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $31.62 / $38.90	Facility		$16.98	$31.62	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $38.90	Professional		$10.00	$12.02	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.02 / $38.90	Facility		$30.90	$38.02	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $50.12	Professional		$7.08	$7.08	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $74.13	Facility		$39.81	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $44.67	Professional		$16.60	$20.42	$44.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $30.90 / $79.43	Facility		$12.59	$30.90	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.49 / $107.15	Facility		$11.22	$13.49	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.51 / $26.30	Professional		$7.24	$8.51	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $32.36 / $64.57	Professional		$13.49	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $36.31 / $199.53	Professional		$18.62	$36.31	$199.53
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $107.15	Facility		$28.84	$28.84	$107.15
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $13.80	Professional		$7.59	$9.55	$13.80
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $70.79	Professional		$30.20	$30.20	$70.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $70.79 / $85.11	Professional		$41.69	$70.79	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.59 / $16.98	Facility		$10.72	$12.59	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.51 / $28.84	Professional		$6.03	$8.51	$28.84