Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $28.18	Professional		$15.14	$16.98	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $67.61	Professional		$30.90	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $95.50 / $151.36	Facility		$54.95	$95.50	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $43.65	Professional		$34.67	$39.81	$43.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.91 / $38.02	Facility		$15.49	$22.91	$38.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $107.15 / $147.91	Professional		$32.36	$107.15	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $29.51 / $158.49	Facility		$15.49	$29.51	$158.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $47.86	Professional		$17.78	$23.99	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $70.79	Professional		$48.98	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $70.79 / $100.00	Professional		$38.90	$70.79	$100.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $194.98	Facility		$54.95	$56.23	$194.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $218.78	Professional		$39.81	$54.95	$218.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $63.10	Professional		$53.70	$61.66	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.89 / $36.31	Facility		$18.20	$20.89	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.62 / $34.67	Professional		$13.49	$18.62	$34.67