Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $95.50	Facility		$48.98	$48.98	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $42.66 / $131.83	Professional		$23.99	$42.66	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $141.25	Professional		$26.30	$42.66	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $25.70 / $36.31	Facility		$19.05	$25.70	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.18 / $56.23	Professional		$25.70	$28.18	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $77.62 / $123.03	Facility		$66.07	$77.62	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $87.10	Professional		$38.90	$74.13	$87.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $36.31 / $75.86	Facility		$23.44	$36.31	$75.86
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $75.86	Professional		$44.67	$56.23	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $42.66 / $114.82	Facility		$23.44	$42.66	$114.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $165.96	Professional		$28.84	$50.12	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $81.28	Professional		$31.62	$57.54	$81.28
Quartz Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $165.96 / $165.96	Facility		$58.88	$165.96	$165.96
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $107.15 / $165.96	Professional		$37.15	$107.15	$165.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $173.78	Professional		$93.33	$123.03	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $104.71	Professional		$28.18	$44.67	$104.71