Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $2,290.87 / $7,762.47	Facility		$30.20	$2,290.87	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $1,513.56 / $4,786.30	Professional		$28.84	$1,513.56	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $66.07	Facility		$37.15	$37.15	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $37.15	Professional		$29.51	$29.51	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $54.95	Facility		$43.65	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $56.23 / $97.72	Facility		$29.51	$56.23	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $54.95	Professional		$30.20	$37.15	$54.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $64.57	Facility		$17.38	$29.51	$64.57
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $58.88 / $58.88	Professional		$43.65	$58.88	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $64.57	Facility		$17.38	$29.51	$64.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $43.65	Professional		$29.51	$32.36	$43.65
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 $29.51 / $29.51 / $87.10	Professional		$29.51	$29.51	$87.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $147.91	Facility		$29.51	$29.51	$147.91
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Security Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $39.81 / $48.98	Professional		$23.44	$39.81	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $29.51	Facility		$27.54	$27.54	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $41.69	Professional		$29.51	$33.11	$41.69