Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $234.42 / $363.08	Facility		$45.71	$234.42	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $42.66 / $147.91	Professional		$23.44	$42.66	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $131.83	Professional		$30.20	$60.26	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $52.48	Facility		$23.99	$31.62	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $53.70	Professional		$40.74	$43.65	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $131.83 / $154.88	Facility		$77.62	$131.83	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $57.54 / $120.23	Professional		$20.42	$57.54	$120.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $48.98 / $120.23	Facility		$25.70	$48.98	$120.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $117.49	Professional		$46.77	$74.13	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $50.12 / $125.89	Facility		$25.12	$50.12	$125.89
Medica Facility/Professional Facility Modifier AS Low / Median / High Price $10.96 / $10.96 / $10.96	Facility	AS	$10.96	$10.96	$10.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $158.49	Professional		$34.67	$42.66	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $134.90	Professional		$40.74	$70.79	$134.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $154.88	Facility		$57.54	$57.54	$154.88
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $5.75 / $5.75 / $15.49	Facility	AS	$5.75	$5.75	$15.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $45.71 / $269.15	Professional		$19.50	$45.71	$269.15
Security Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $154.88	Professional		$47.86	$87.10	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $707.95	Facility		$537.03	$537.03	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $70.79	Professional		$22.91	$38.02	$70.79