Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.38 / $457.09	Facility		$8.91	$17.38	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.03 / $8.91	Professional		$5.01	$6.03	$8.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $21.38	Facility		$16.60	$20.89	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $30.90	Professional		$3.80	$3.80	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.47	Facility		$4.47	$4.47	$4.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $40.74	Facility		$21.88	$25.12	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $11.48 / $23.99	Professional		$9.12	$11.48	$23.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $16.98 / $61.66	Facility		$6.92	$16.98	$61.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.24 / $109.65	Facility		$6.03	$7.24	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.31 / $17.38	Professional		$4.68	$6.31	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $27.54 / $64.57	Professional		$7.76	$27.54	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.50 / $45.71	Professional		$10.00	$19.50	$45.71
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $109.65	Facility		$15.49	$15.49	$109.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.01 / $7.59	Professional		$4.07	$5.01	$7.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $144.54	Professional		$16.60	$16.60	$144.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $144.54 / $144.54	Professional		$26.92	$144.54	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $6.92 / $9.33	Facility		$5.75	$6.92	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $6.31 / $19.05	Professional		$3.89	$6.31	$19.05