Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.70 / $100.00	Facility		$22.91	$25.70	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $36.31	Professional		$19.05	$23.99	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.90 / $81.28	Professional		$21.88	$30.90	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $89.13 / $131.83	Facility		$67.61	$89.13	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $48.98 / $89.13	Professional		$19.05	$48.98	$89.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $35.48	Facility		$21.38	$25.70	$35.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $67.61	Professional		$30.90	$44.67	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $25.70 / $39.81	Facility		$21.38	$25.70	$39.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.81 / $158.49	Professional		$20.89	$39.81	$158.49
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 $29.51 / $43.65 / $74.13	Professional		$29.51	$43.65	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $134.90	Facility		$54.95	$54.95	$134.90
Quartz Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $162.18	Professional		$18.20	$29.51	$162.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $45.71 / $91.20	Professional		$25.70	$45.71	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $22.39 / $22.39	Facility		$20.42	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $33.11 / $79.43	Professional		$20.89	$33.11	$79.43