Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $56.23 / $56.23	Facility		$15.85	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $23.99	Professional		$12.02	$16.98	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $46.77	Facility		$28.18	$28.18	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $30.20	Professional		$26.30	$26.30	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $138.04	Facility		$74.13	$87.10	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $40.74 / $53.70	Professional		$14.13	$40.74	$53.70
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.42 / $28.84	Facility		$15.49	$20.42	$28.84
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $43.65	Professional		$25.12	$34.67	$43.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $56.23	Facility		$15.49	$22.39	$56.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.80 / $138.04	Professional		$11.75	$13.80	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $33.11 / $70.79	Professional		$10.47	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $74.13	Professional		$28.18	$42.66	$74.13
Quartz Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $131.83	Facility		$56.23	$56.23	$131.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $42.66 / $138.04	Professional		$14.13	$42.66	$138.04
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.80 / $22.39	Professional		$9.33	$13.80	$22.39