Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $213.80 / $616.60	Facility		$77.62	$213.80	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $38.90	Professional		$19.95	$28.18	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $131.83	Professional		$14.79	$14.79	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $60.26 / $61.66	Facility		$25.70	$60.26	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Professional		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $75.86 / $120.23	Facility		$64.57	$75.86	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $112.20	Professional		$29.51	$37.15	$112.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.99 / $40.74	Facility		$18.62	$23.99	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $50.12 / $263.03	Facility		$18.62	$50.12	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.89 / $60.26	Professional		$10.96	$20.89	$60.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $87.10	Professional		$30.90	$58.88	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $223.87	Facility		$46.77	$46.77	$223.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.49 / $13.49	Professional		$11.48	$13.49	$13.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $114.82 / $457.09	Facility		$12.30	$114.82	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.89 / $64.57	Professional		$12.59	$20.89	$64.57