Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $20.89 / $25.70	Facility		$10.96	$20.89	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.08 / $10.96	Professional		$6.03	$7.08	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.12 / $25.70	Facility		$19.95	$25.12	$25.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $3.72 / $33.11	Professional		$3.72	$3.72	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $48.98	Facility		$26.30	$30.20	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.49 / $31.62	Professional		$10.72	$13.49	$31.62
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $18.62 / $39.81	Facility		$4.68	$18.62	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.51 / $79.43	Facility		$4.68	$8.51	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.33 / $19.50	Professional		$5.89	$9.33	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $17.78 / $64.57	Professional		$4.68	$17.78	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.88 / $30.90	Professional		$12.02	$21.88	$30.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $79.43	Facility		$18.62	$18.62	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $3.24 / $3.55	Professional		$3.24	$3.24	$3.55
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $5.13 / $19.95	Professional		$5.13	$5.13	$19.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $19.95 / $51.29	Professional		$5.13	$19.95	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $7.59 / $11.22	Facility		$5.50	$7.59	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.33 / $22.91	Professional		$5.62	$9.33	$22.91