Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $891.25	Facility		$47.86	$47.86	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $724.44	Professional		$30.20	$47.86	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $977.24	Professional		$524.81	$645.65	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $478.63 / $812.83	Professional		$346.74	$478.63	$812.83
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 / $1,819.70	Professional		$30.90	$69.18	$1,819.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $660.69	Professional		$54.95	$70.79	$660.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $812.83	Professional		$478.63	$524.81	$812.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $831.76 / $1,819.70	Professional		$389.05	$831.76	$1,819.70
Security Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Security Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $1,122.02	Professional		$562.34	$1,122.02	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $93.33	Professional		$30.20	$60.26	$93.33