Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $74.13 / $44,668.36	Facility		$38.02	$74.13	$44,668.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $66.07	Professional		$36.31	$37.15	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $81.28	Facility		$45.71	$45.71	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $46.77	Professional		$36.31	$36.31	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $69.18	Facility		$37.15	$50.12	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $85.11	Professional		$37.15	$40.74	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $56.23 / $131.83	Facility		$34.67	$56.23	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $67.61	Professional		$36.31	$38.02	$67.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $40.74	Facility		$37.15	$37.15	$40.74
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $74.13 / $77.62	Professional		$40.74	$74.13	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $41.69	Facility		$36.31	$36.31	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $162.18	Professional		$36.31	$40.74	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $112.20	Professional		$36.31	$57.54	$112.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $36.31 / $181.97	Facility		$34.67	$36.31	$181.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $162.18	Professional		$36.31	$61.66	$162.18
Security Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $60.26	Professional		$50.12	$50.12	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.90 / $41.69	Professional		$36.31	$38.90	$41.69