Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $61.66 / $1,905.46	Facility		$25.12	$61.66	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $57.54 / $104.71	Professional		$25.70	$57.54	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $107.15 / $257.04	Professional		$48.98	$107.15	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $354.81	Facility		$190.55	$223.87	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $79.43 / $190.55	Professional		$34.67	$79.43	$190.55
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $87.10 / $3,388.44	Facility		$30.20	$87.10	$3,388.44
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $208.93	Professional		$54.95	$107.15	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $87.10 / $1,737.80	Facility		$30.20	$87.10	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $295.12	Professional		$66.07	$128.82	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $234.42	Professional		$48.98	$100.00	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $218.78	Facility		$77.62	$77.62	$218.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $79.43 / $501.19	Professional		$33.11	$79.43	$501.19
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $131.83 / $309.03	Professional		$58.88	$131.83	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $1,949.84	Facility		$1,023.29	$1,584.89	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $234.42	Professional		$34.67	$81.28	$234.42