Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.88 / $69.18	Facility		$19.05	$33.88	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $40.74 / $85.11	Professional		$19.95	$40.74	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $51.29 / $128.82	Professional		$26.92	$51.29	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.44 / $41.69	Facility		$16.60	$23.44	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $89.13	Professional		$33.88	$53.70	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $223.87	Facility		$114.82	$151.36	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $107.15	Professional		$28.18	$47.86	$107.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.90 / $63.10	Facility		$22.39	$38.90	$63.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $57.54 / $104.71	Professional		$33.88	$57.54	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.90 / $64.57	Facility		$22.39	$38.90	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $275.42	Professional		$44.67	$81.28	$275.42
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 $28.18 / $56.23 / $102.33	Professional		$28.18	$56.23	$102.33
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $147.91	Facility		$54.95	$54.95	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $275.42	Professional		$30.20	$47.86	$275.42
Security Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $117.49 / $213.80	Professional		$37.15	$117.49	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $52.48	Facility		$44.67	$44.67	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $54.95 / $125.89	Professional		$31.62	$54.95	$125.89