Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $48.98 / $60.26	Facility		$25.70	$48.98	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $41.69	Professional		$15.85	$19.05	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $58.88 / $60.26	Facility		$46.77	$58.88	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $91.20	Professional		$10.00	$10.00	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $70.79 / $112.20	Facility		$60.26	$70.79	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $52.48 / $69.18	Professional		$25.12	$52.48	$69.18
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $100.00 / $158.49	Facility		$26.30	$100.00	$158.49
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $144.54	Professional		$131.83	$131.83	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $75.86	Facility		$20.89	$29.51	$75.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.98 / $181.97	Professional		$12.30	$16.98	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $54.95 / $70.79	Professional		$25.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $56.23 / $85.11	Professional		$38.02	$56.23	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $186.21 / $186.21	Facility		$50.12	$186.21	$186.21
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $112.20 / $181.97	Professional		$25.70	$112.20	$181.97
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $46.77	Professional		$20.42	$20.42	$46.77
Security Health Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $79.43 / $134.90	Professional		$20.42	$79.43	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $26.30	Facility		$17.78	$17.78	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.22 / $42.66	Professional		$9.12	$16.22	$42.66