Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $177.83 / $257.04	Facility		$61.66	$177.83	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $66.07 / $138.04	Professional		$38.90	$66.07	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $61.66	Professional		$45.71	$51.29	$61.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $79.43 / $138.04	Facility		$51.29	$79.43	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $54.95 / $102.33	Professional		$40.74	$54.95	$102.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $58.88	Facility		$39.81	$39.81	$58.88
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $177.83	Facility		$56.23	$89.13	$177.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $79.43	Professional		$48.98	$54.95	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $85.11	Professional		$39.81	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $109.65	Professional		$39.81	$42.66	$109.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $169.82	Facility		$54.95	$54.95	$169.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Security Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $66.07	Professional		$39.81	$53.70	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $85.11	Professional		$50.12	$56.23	$85.11