Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $158.49 / $275.42	Facility		$53.70	$158.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $97.72	Professional		$12.02	$13.80	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $40.74 / $41.69	Facility		$32.36	$40.74	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $60.26	Professional		$7.41	$7.41	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $41.69 / $42.66	Facility		$9.33	$41.69	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $77.62	Facility		$41.69	$48.98	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $52.48	Professional		$17.38	$21.88	$52.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $33.11 / $120.23	Facility		$13.49	$33.11	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $107.15 / $218.78	Facility		$13.49	$107.15	$218.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $18.20 / $74.13	Professional		$9.12	$18.20	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $32.36 / $64.57	Professional		$7.59	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $64.57	Professional		$19.50	$38.02	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $100.00	Facility		$30.20	$30.20	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $14.79	Professional		$7.94	$10.00	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
Security Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $75.86 / $89.13	Professional		$32.36	$75.86	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.49 / $18.20	Facility		$11.48	$13.49	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $15.14 / $38.02	Professional		$9.12	$15.14	$38.02