Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $114.82 / $239.88	Facility		$37.15	$114.82	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $32.36	Professional		$19.95	$24.55	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $72.44 / $74.13	Facility		$58.88	$72.44	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $109.65	Professional		$13.49	$13.49	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $75.86 / $75.86	Facility		$18.62	$75.86	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $138.04	Facility		$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $85.11	Professional		$31.62	$38.90	$85.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $58.88 / $218.78	Facility		$23.99	$58.88	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $27.54 / $128.82	Facility		$21.38	$27.54	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.91 / $79.43	Professional		$16.22	$22.91	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $53.70 / $95.50	Professional		$26.92	$53.70	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $186.21	Professional		$34.67	$69.18	$186.21
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $128.82	Facility		$54.95	$54.95	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.78 / $26.92	Professional		$14.45	$17.78	$26.92
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $64.57	Professional		$57.54	$57.54	$64.57
Security Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $147.91	Professional		$64.57	$64.57	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.99 / $32.36	Facility		$20.42	$23.99	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.39 / $67.61	Professional		$13.49	$22.39	$67.61