Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $380.19 / $489.78	Facility		$33.88	$380.19	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.84 / $165.96	Professional		$21.88	$28.84	$165.96
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	CQ	$204.17	$204.17	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $102.33	Professional		$25.12	$32.36	$102.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $46.77 / $75.86	Facility		$34.67	$46.77	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $36.31	Professional		$34.67	$34.67	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $131.83	Facility		$64.57	$100.00	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $56.23 / $109.65	Professional		$32.36	$56.23	$109.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $30.20 / $72.44	Facility		$22.39	$30.20	$72.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $70.79 / $107.15	Professional		$66.07	$70.79	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $40.74 / $194.98	Facility		$23.44	$40.74	$194.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $234.42	Professional		$33.88	$39.81	$234.42
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 $34.67 / $79.43 / $120.23	Professional		$34.67	$79.43	$120.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $234.42	Facility		$64.57	$89.13	$234.42
Quartz Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $190.55 / $234.42	Professional		$37.15	$190.55	$234.42
Security Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Security Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $102.33	Professional		$43.65	$87.10	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.02 / $66.07	Professional		$33.11	$38.02	$66.07