Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $77.62 / $95.50	Facility		$40.74	$77.62	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $131.83	Professional		$25.70	$32.36	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $93.33 / $95.50	Facility		$74.13	$93.33	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $144.54	Professional		$18.20	$18.20	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $112.20 / $177.83	Facility		$95.50	$112.20	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $91.20 / $117.49	Professional		$39.81	$91.20	$117.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $177.83 / $275.42	Facility		$41.69	$177.83	$275.42
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $229.09	Professional		$208.93	$208.93	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $134.90	Facility		$33.11	$44.67	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.71 / $389.05	Professional		$32.36	$45.71	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $63.10 / $85.11	Professional		$33.11	$63.10	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $123.03	Professional		$60.26	$89.13	$123.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $512.86 / $512.86	Facility		$75.86	$512.86	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $177.83 / $398.11	Professional		$21.38	$177.83	$398.11
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $74.13	Professional		$33.11	$33.11	$74.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $128.82 / $208.93	Professional		$33.11	$128.82	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $41.69	Facility		$28.84	$28.84	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $37.15 / $100.00	Professional		$20.89	$37.15	$100.00