Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $660.69	Facility		$47.86	$47.86	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $537.03	Professional		$30.20	$47.86	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $776.25	Professional		$676.08	$724.44	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $1,288.25	Professional		$257.04	$371.54	$1,288.25
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 / $1,348.96	Professional		$30.90	$69.18	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $478.63	Professional		$54.95	$70.79	$478.63
Quartz Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $389.05 / $602.56	Professional		$363.08	$389.05	$602.56
Quartz Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $630.96 / $1,348.96	Professional		$281.84	$630.96	$1,348.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Security Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $831.76 / $831.76	Professional		$416.87	$831.76	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $93.33	Professional		$30.20	$60.26	$93.33