Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $199.53	Facility		$17.78	$35.48	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $23.44	Professional		$9.33	$11.48	$23.44
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
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
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 / $12.30 / $177.83	Facility		$10.23	$12.30	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $7.76 / $28.84	Professional		$4.79	$7.76	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $20.42 / $64.57	Professional		$6.46	$20.42	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $33.11 / $64.57	Professional		$16.60	$33.11	$64.57
Quartz Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $177.83	Facility		$27.54	$27.54	$177.83
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 $27.54 / $27.54 / $104.71	Professional		$27.54	$27.54	$104.71
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $104.71 / $104.71	Professional		$37.15	$104.71	$104.71
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