Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $54.95 / $186.21	Facility		$23.99	$54.95	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $23.99	Professional		$15.14	$16.98	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $54.95	Facility		$43.65	$54.95	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $70.79	Professional		$10.00	$10.00	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $104.71	Facility		$56.23	$64.57	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $63.10	Professional		$22.91	$28.84	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $43.65 / $112.20	Facility		$17.78	$43.65	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $234.42	Facility		$15.85	$19.05	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.02 / $38.02	Professional		$10.23	$12.02	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $32.36 / $64.57	Professional		$10.00	$32.36	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $51.29 / $147.91	Professional		$25.70	$51.29	$147.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $234.42	Facility		$40.74	$40.74	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $19.95	Professional		$10.72	$13.49	$19.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Professional		$42.66	$42.66	$56.23
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $109.65	Professional		$56.23	$56.23	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.78 / $23.99	Facility		$15.14	$17.78	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $40.74	Professional		$8.51	$12.02	$40.74