Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $1,122.02	Facility		$47.86	$47.86	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $891.25	Professional		$30.20	$47.86	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,230.27	Professional		$645.65	$794.33	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,023.29	Professional		$446.68	$602.56	$1,023.29
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 / $2,238.72	Professional		$30.90	$69.18	$2,238.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $851.14	Professional		$54.95	$70.79	$851.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $1,000.00	Professional		$602.56	$645.65	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,047.13 / $2,238.72	Professional		$489.78	$1,047.13	$2,238.72
Security Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Security Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,380.38 / $1,380.38	Professional		$691.83	$1,380.38	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $93.33	Professional		$30.20	$60.26	$93.33