Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $46.77 / $57.54	Facility		$25.12	$46.77	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.98 / $25.12	Professional		$15.85	$16.98	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $56.23 / $57.54	Facility		$45.71	$56.23	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $85.11	Professional		$9.33	$9.33	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $107.15	Facility		$57.54	$67.61	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.20 / $66.07	Professional		$24.55	$30.20	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $41.69 / $151.36	Facility		$16.98	$41.69	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.05 / $100.00	Facility		$16.60	$19.05	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.85 / $42.66	Professional		$12.30	$15.85	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $33.11 / $66.07	Professional		$10.47	$33.11	$66.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $53.70 / $218.78	Professional		$26.92	$53.70	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $100.00	Facility		$41.69	$41.69	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.59 / $18.62	Professional		$11.22	$12.59	$18.62
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $44.67	Professional		$19.50	$19.50	$44.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $61.66 / $125.89	Professional		$19.50	$61.66	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $25.12	Facility		$14.13	$16.98	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.85 / $46.77	Professional		$10.47	$15.85	$46.77