Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.88 / $43.65	Facility		$15.14	$21.88	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $25.12	Professional		$14.13	$14.13	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $32.36	Facility		$18.20	$18.20	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $18.62	Professional		$14.45	$14.45	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $21.38	Facility		$19.95	$19.95	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.98 / $37.15	Facility		$14.45	$16.98	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $26.92	Professional		$14.79	$18.62	$26.92
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.45 / $31.62	Facility		$9.33	$14.45	$31.62
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.84 / $28.84	Professional		$21.38	$28.84	$28.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.13 / $31.62	Facility		$9.33	$14.13	$31.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $28.84	Professional		$14.13	$15.85	$28.84
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 $14.45 / $14.45 / $42.66	Professional		$14.45	$14.45	$42.66
Quartz Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $100.00	Facility		$14.45	$14.45	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Security Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $23.99	Professional		$19.50	$19.50	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $14.45	Facility		$13.49	$13.49	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $21.88	Professional		$14.45	$16.22	$21.88