Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.38 / $26.30	Facility		$10.96	$21.38	$26.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.96	Professional		$6.03	$7.08	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $25.70 / $26.30	Facility		$20.42	$25.70	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $4.07 / $33.88	Professional		$4.07	$4.07	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $48.98	Facility		$26.30	$30.20	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $29.51	Professional		$11.22	$13.80	$29.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $19.05 / $56.23	Facility		$6.31	$19.05	$56.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $8.51 / $100.00	Facility		$6.31	$8.51	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.89 / $17.78	Professional		$4.79	$5.89	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $32.36 / $85.11	Professional		$4.79	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $24.55 / $35.48	Professional		$12.59	$24.55	$35.48
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $100.00	Facility		$50.12	$50.12	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $7.08	Professional		$4.79	$4.79	$7.08
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $20.42	Professional		$7.24	$7.24	$20.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $33.11 / $52.48	Professional		$7.24	$33.11	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $7.59 / $11.48	Facility		$5.37	$7.59	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.89 / $18.62	Professional		$3.98	$5.89	$18.62