Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $776.25	Facility		$47.86	$47.86	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $630.96	Professional		$30.20	$47.86	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $562.34 / $851.14	Professional		$457.09	$562.34	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $107.15	Facility		$57.54	$69.18	$107.15
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 $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $1,584.89	Professional		$30.90	$69.18	$1,584.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $575.44	Professional		$54.95	$70.79	$575.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $457.09 / $707.95	Professional		$426.58	$457.09	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,584.89 / $1,584.89	Professional		$741.31	$1,584.89	$1,584.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $977.24 / $977.24	Professional		$489.78	$977.24	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $93.33	Professional		$30.20	$60.26	$93.33