Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $60.26 / $89.13	Facility		$13.80	$60.26	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $23.44	Professional		$12.88	$12.88	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $16.98	Professional		$13.49	$13.49	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $17.78	Facility		$16.98	$16.98	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.88 / $38.02	Facility		$13.49	$21.88	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $25.12	Professional		$13.80	$17.38	$25.12
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $26.30	Facility		$12.02	$12.02	$26.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $23.99	Professional		$18.20	$23.99	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.49 / $81.28	Facility		$10.72	$15.49	$81.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $19.95	Professional		$10.72	$10.72	$19.95
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 $13.49 / $13.49 / $36.31	Professional		$13.49	$13.49	$36.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $85.11	Facility		$13.49	$13.49	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Security Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $19.95	Professional		$16.22	$16.22	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $21.38	Professional		$13.49	$13.49	$21.38