Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.84 / $63.10	Facility		$15.14	$28.84	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $29.51	Professional		$8.91	$11.75	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $34.67 / $35.48	Facility		$27.54	$34.67	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $51.29	Professional		$6.31	$6.31	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $36.31 / $36.31	Facility		$8.71	$36.31	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $66.07	Facility		$35.48	$40.74	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $40.74	Professional		$14.79	$18.62	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $28.18 / $102.33	Facility		$11.48	$28.18	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.02 / $100.00	Facility		$10.23	$12.02	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $29.51	Professional		$7.76	$10.72	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $32.36 / $64.57	Professional		$10.96	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $104.71	Professional		$16.60	$33.11	$104.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $100.00	Facility		$25.70	$25.70	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.51 / $12.59	Professional		$6.92	$8.51	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $27.54	Professional		$14.79	$14.79	$27.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $37.15 / $70.79	Professional		$14.79	$37.15	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $11.48 / $15.49	Facility		$6.46	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.72 / $31.62	Professional		$6.46	$10.72	$31.62