Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $112.20	Facility		$47.86	$47.86	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $89.13	Professional		$30.20	$47.86	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $114.82	Professional		$58.88	$77.62	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $120.23 / $5,248.07	Facility		$60.26	$120.23	$5,248.07
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 / $4,073.80 / $5,754.40	Facility		$2,691.53	$4,073.80	$5,754.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $223.87	Professional		$30.90	$69.18	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $95.50	Professional		$50.12	$64.57	$95.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $223.87 / $223.87	Professional		$104.71	$223.87	$223.87
Security Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Security Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $138.04 / $138.04	Professional		$69.18	$138.04	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $93.33	Professional		$30.20	$60.26	$93.33