Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $28.84 / $35.48	Facility		$15.14	$28.84	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $18.62	Professional		$8.91	$10.00	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $34.67 / $35.48	Facility		$27.54	$34.67	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $45.71	Professional		$6.31	$6.31	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $66.07	Facility		$35.48	$40.74	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $39.81	Professional		$14.79	$18.62	$39.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $27.54 / $46.77	Facility		$11.48	$27.54	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.02 / $128.82	Facility		$10.23	$12.02	$128.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.76 / $19.95	Professional		$4.79	$7.76	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $32.36 / $85.11	Professional		$6.31	$32.36	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $60.26	Professional		$16.60	$33.11	$60.26
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $128.82	Facility		$27.54	$27.54	$128.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $12.59	Professional		$6.76	$8.51	$12.59
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $27.54	Professional		$6.03	$6.03	$27.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $70.79	Professional		$6.03	$6.03	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $11.48 / $15.49	Facility		$9.77	$11.48	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.76 / $25.12	Professional		$4.79	$7.76	$25.12