Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $229.09	Facility		$77.62	$114.82	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $9,772.37	Professional		$75.86	$77.62	$9,772.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $169.82	Facility		$95.50	$95.50	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $95.50	Professional		$75.86	$75.86	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $112.20	Facility		$107.15	$107.15	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $147.91 / $257.04	Facility		$75.86	$147.91	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $141.25	Professional		$77.62	$95.50	$141.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $165.96	Facility		$41.69	$75.86	$165.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $151.36	Professional		$114.82	$151.36	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $72.44 / $162.18	Facility		$41.69	$72.44	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $117.49	Professional		$72.44	$72.44	$117.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $229.09	Professional		$75.86	$77.62	$229.09
Quartz Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $380.19	Facility		$75.86	$75.86	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Security Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $104.71 / $128.82	Professional		$56.23	$104.71	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $81.28 / $81.28	Facility		$75.86	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $104.71	Professional		$75.86	$75.86	$104.71