Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $109.65 / $251.19	Facility		$32.36	$109.65	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $32.36	Professional		$10.23	$12.88	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $38.90 / $39.81	Facility		$30.90	$38.90	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $57.54	Professional		$7.08	$7.08	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $39.81 / $40.74	Facility		$11.48	$39.81	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $46.77 / $74.13	Facility		$39.81	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $44.67	Professional		$16.60	$20.42	$44.67
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $31.62 / $114.82	Facility		$12.88	$31.62	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.38 / $125.89	Facility		$11.48	$17.38	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $32.36	Professional		$8.51	$11.75	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $33.11 / $85.11	Professional		$7.24	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $36.31 / $54.95	Professional		$18.62	$36.31	$54.95
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $72.44	Facility		$30.90	$30.90	$72.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $14.13	Professional		$7.59	$9.55	$14.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $97.72	Professional		$30.90	$30.90	$97.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $79.43 / $97.72	Professional		$43.65	$79.43	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $17.38	Facility		$10.96	$12.88	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $11.75 / $35.48	Professional		$6.03	$11.75	$35.48