Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $63.10 / $213.80	Facility		$14.13	$63.10	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.39 / $54.95	Professional		$14.13	$22.39	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $27.54	Professional		$13.80	$13.80	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $26.30 / $44.67	Facility		$14.79	$26.30	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $48.98	Professional		$12.88	$15.85	$48.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $48.98	Facility		$14.13	$15.49	$48.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.49 / $48.98	Facility		$14.13	$15.49	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.14 / $21.38	Professional		$13.18	$15.14	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $54.95 / $85.11	Professional		$15.14	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $77.62	Professional		$30.20	$57.54	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $85.11 / $100.00	Facility		$14.79	$85.11	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $38.02 / $46.77	Professional		$37.15	$38.02	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.49 / $23.44	Professional		$13.49	$15.49	$23.44