Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $549.54	Facility		$47.86	$47.86	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $446.68	Professional		$30.20	$47.86	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $616.60	Professional		$323.59	$398.11	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $457.09	Professional		$199.53	$269.15	$457.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $74.13 / $120.23	Facility		$60.26	$74.13	$120.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $95.50	Professional		$41.69	$57.54	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $1,122.02	Professional		$30.90	$69.18	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $380.19	Professional		$54.95	$70.79	$380.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $501.19	Professional		$302.00	$323.59	$501.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $524.81 / $1,122.02	Professional		$218.78	$524.81	$1,122.02
Security Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $691.83 / $691.83	Professional		$346.74	$691.83	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $93.33	Professional		$30.20	$60.26	$93.33