Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $17,378.01 / $21,877.62	Facility		$35.48	$17,378.01	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $5,754.40	Professional		$30.20	$30.90	$5,754.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $67.61	Facility		$56.23	$64.57	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.02	Professional		$30.20	$30.20	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $54.95 / $54.95	Facility		$43.65	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $34.67 / $93.33	Facility		$30.20	$34.67	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $56.23	Professional		$30.20	$38.02	$56.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $64.57	Facility		$29.51	$29.51	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $154.88	Facility		$30.90	$30.90	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $63.10	Professional		$42.66	$47.86	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $85.11	Professional		$29.51	$30.90	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $97.72	Professional		$25.70	$30.20	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $346.74	Facility		$30.20	$30.20	$346.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Security Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $52.48	Professional		$42.66	$42.66	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $34.67 / $34.67	Facility		$30.20	$34.67	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $63.10	Professional		$30.20	$42.66	$63.10