Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $100.00 / $371.54	Facility		$21.38	$100.00	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $309.03	Professional		$12.02	$13.49	$309.03
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 $12.02 / $41.69 / $42.66	Facility		$12.02	$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 $16.98 / $21.38 / $46.77	Professional		$16.98	$21.38	$46.77
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 $11.75 / $14.13 / $33.11	Facility		$11.75	$14.13	$33.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $33.88	Professional		$8.91	$12.59	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.11 / $85.11	Professional		$15.14	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $38.02 / $81.28	Professional		$19.50	$38.02	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $100.00	Facility		$35.48	$35.48	$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 $31.62 / $31.62 / $85.11	Professional		$31.62	$31.62	$85.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $93.33	Professional		$57.54	$81.28	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $13.18 / $17.78	Facility		$11.22	$13.18	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $12.30 / $33.88	Professional		$7.59	$12.30	$33.88