Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $1,778.28	Facility		$47.86	$47.86	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $1,445.44	Professional		$30.20	$47.86	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $1,949.84	Professional		$1,047.13	$1,288.25	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,737.80	Professional		$758.58	$1,023.29	$1,737.80
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 / $3,630.78	Professional		$30.90	$69.18	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $1,412.54	Professional		$54.95	$70.79	$1,412.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,047.13 / $1,621.81	Professional		$954.99	$1,047.13	$1,621.81
Quartz Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,698.24 / $3,630.78	Professional		$831.76	$1,698.24	$3,630.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,238.72 / $2,238.72	Professional		$1,122.02	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $93.33	Professional		$30.20	$60.26	$93.33