Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.90 / $47.86	Facility		$19.95	$38.90	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $19.95	Professional		$10.96	$14.13	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $46.77 / $47.86	Facility		$37.15	$46.77	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $60.26	Professional		$6.92	$6.92	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Facility		$10.96	$10.96	$10.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $56.23 / $89.13	Facility		$47.86	$56.23	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $53.70	Professional		$19.95	$24.55	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $34.67 / $83.18	Facility		$9.33	$34.67	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $15.49 / $87.10	Facility		$9.33	$15.49	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.47 / $30.90	Professional		$7.59	$10.47	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $33.11 / $85.11	Professional		$14.13	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $44.67 / $60.26	Professional		$22.39	$44.67	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $87.10	Facility		$50.12	$50.12	$87.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $10.23	Professional		$6.92	$6.92	$10.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $37.15	Professional		$10.72	$10.72	$37.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $35.48 / $93.33	Professional		$10.72	$35.48	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.80 / $20.89	Facility		$8.71	$13.80	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.47 / $30.90	Professional		$7.24	$10.47	$30.90