Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $223.87 / $223.87	Facility		$14.13	$223.87	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $208.93	Professional		$12.02	$16.98	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $24.55 / $50.12	Professional		$12.88	$24.55	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.02 / $60.26	Facility		$32.36	$38.02	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.88 / $42.66	Professional		$16.98	$33.88	$42.66
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.44 / $32.36	Facility		$17.38	$23.44	$32.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $23.44 / $32.36	Facility		$17.38	$23.44	$32.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $27.54 / $46.77	Professional		$14.79	$27.54	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $85.11	Professional		$54.95	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $50.12	Professional		$25.12	$36.31	$50.12
Quartz Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $100.00 / $100.00	Facility		$35.48	$100.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $44.67	Professional		$33.88	$33.88	$44.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $50.12	Professional		$38.02	$38.02	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $25.12 / $47.86	Professional		$14.79	$25.12	$47.86