Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $54.95 / $74.13	Facility		$25.12	$54.95	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $85.11	Professional		$25.12	$36.31	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $91.20	Professional		$32.36	$47.86	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $51.29	Facility		$28.18	$37.15	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $85.11	Professional		$38.02	$51.29	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $123.03 / $194.98	Facility		$93.33	$123.03	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $57.54 / $107.15	Professional		$31.62	$57.54	$107.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $34.67 / $61.66	Facility		$25.70	$34.67	$61.66
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $104.71	Professional		$53.70	$74.13	$104.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $35.48 / $70.79	Facility		$25.70	$35.48	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $251.19	Professional		$40.74	$70.79	$251.19
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 $41.69 / $74.13 / $120.23	Professional		$41.69	$74.13	$120.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $190.55	Facility		$56.23	$56.23	$190.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $54.95 / $251.19	Professional		$29.51	$54.95	$251.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $81.28	Professional		$33.11	$52.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $47.86 / $85.11	Professional		$32.36	$47.86	$85.11