Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $40.74	Facility		$39.81	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $57.54	Professional		$39.81	$40.74	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $77.62 / $81.28	Facility		$67.61	$77.62	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $42.66 / $53.70	Professional		$26.92	$42.66	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $81.28	Facility		$30.20	$46.77	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $42.66 / $66.07	Professional		$22.91	$42.66	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $22.39 / $51.29	Facility		$14.79	$22.39	$51.29
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $33.88	Professional		$5.37	$5.37	$33.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $22.39 / $51.29	Facility		$14.79	$22.39	$51.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $69.18	Professional		$52.48	$52.48	$69.18
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 $9.12 / $18.20 / $91.20	Professional		$9.12	$18.20	$91.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $190.55	Facility		$42.66	$42.66	$190.55
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $60.26	Professional		$30.20	$30.20	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $67.61 / $67.61	Facility		$36.31	$67.61	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $63.10	Professional		$42.66	$42.66	$63.10