Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $120.23	Facility		$25.12	$25.12	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $37.15	Professional		$19.05	$23.99	$37.15
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $87.10	Professional		$21.88	$26.30	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $85.11 / $114.82	Facility		$64.57	$85.11	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $46.77 / $95.50	Professional		$26.92	$46.77	$95.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.70 / $63.10	Facility		$18.20	$25.70	$63.10
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $89.13	Professional		$57.54	$66.07	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $31.62 / $144.54	Facility		$18.20	$31.62	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $199.53	Professional		$27.54	$32.36	$199.53
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 / $70.79 / $100.00	Professional		$34.67	$70.79	$100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $79.43 / $199.53	Facility		$64.57	$79.43	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $162.18 / $199.53	Professional		$31.62	$162.18	$199.53
Security Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $74.13 / $89.13	Professional		$38.90	$74.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $53.70	Professional		$26.92	$32.36	$53.70