Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $186.21 / $218.78	Facility		$95.50	$186.21	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $64.57 / $95.50	Professional		$33.88	$64.57	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $218.78	Facility		$173.78	$218.78	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $234.42	Professional		$32.36	$32.36	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $257.04 / $416.87	Facility		$223.87	$257.04	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $251.19	Professional		$93.33	$114.82	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $58.88 / $95.50	Facility		$7.59	$58.88	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $72.44 / $177.83	Facility		$7.59	$72.44	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $47.86 / $125.89	Professional		$6.92	$47.86	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $33.11 / $85.11	Professional		$11.75	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $190.55 / $263.03	Professional		$47.86	$190.55	$263.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $380.19	Facility		$162.18	$162.18	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $5.75 / $8.32	Professional		$5.75	$5.75	$8.32
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $169.82	Professional		$8.91	$8.91	$169.82
Security Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $40.74 / $446.68	Professional		$8.91	$40.74	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $64.57 / $95.50	Facility		$39.81	$64.57	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $47.86 / $144.54	Professional		$7.08	$47.86	$144.54