Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $147.91 / $229.09	Facility		$33.11	$147.91	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $38.02	Professional		$15.85	$19.05	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $60.26	Facility		$46.77	$58.88	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $87.10	Professional		$10.96	$10.96	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $61.66 / $61.66	Facility		$15.14	$61.66	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $112.20	Facility		$60.26	$70.79	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $69.18	Professional		$25.12	$31.62	$69.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $47.86 / $173.78	Facility		$19.50	$47.86	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $123.03	Facility		$17.78	$22.39	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $50.12	Professional		$13.18	$18.62	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $33.11 / $77.62	Professional		$18.62	$33.11	$77.62
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $218.78	Professional		$28.18	$56.23	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $123.03	Facility		$43.65	$43.65	$123.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.45 / $21.38	Professional		$11.75	$14.45	$21.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $70.79	Professional		$46.77	$46.77	$70.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $120.23	Professional		$70.79	$70.79	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.50 / $26.30	Facility		$16.60	$19.50	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $54.95	Professional		$10.96	$18.20	$54.95