Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $75.86 / $93.33	Facility		$39.81	$75.86	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.92 / $39.81	Professional		$22.91	$26.92	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $91.20 / $93.33	Facility		$72.44	$91.20	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $120.23	Professional		$13.49	$13.49	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $109.65 / $173.78	Facility		$93.33	$109.65	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $104.71	Professional		$38.90	$48.98	$104.71
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $67.61 / $199.53	Facility		$21.88	$67.61	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.20 / $162.18	Facility		$21.88	$30.20	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.89 / $61.66	Professional		$16.98	$20.89	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $48.98 / $87.10	Professional		$28.84	$48.98	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $112.20	Professional		$43.65	$79.43	$112.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $162.18	Facility		$67.61	$67.61	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.91	Professional		$16.22	$16.22	$22.91
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $72.44	Professional		$25.70	$25.70	$72.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $100.00 / $186.21	Professional		$25.70	$100.00	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $26.92 / $40.74	Facility		$18.62	$26.92	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $66.07	Professional		$14.45	$20.42	$66.07