Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $50.12 / $1,905.46	Facility		$19.95	$50.12	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $67.61	Professional		$20.89	$30.20	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $6,165.95	Facility		$1,202.26	$1,584.89	$6,165.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $61.66 / $138.04	Professional		$33.11	$61.66	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $97.72 / $154.88	Facility		$83.18	$97.72	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $53.70 / $95.50	Professional		$27.54	$53.70	$95.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $67.61 / $3,981.07	Facility		$23.99	$67.61	$3,981.07
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $95.50	Professional		$44.67	$64.57	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $67.61 / $1,737.80	Facility		$24.55	$67.61	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $63.10 / $2,187.76	Professional		$33.88	$63.10	$2,187.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $85.11	Professional		$32.36	$33.11	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $112.20	Professional		$42.66	$70.79	$112.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $199.53	Facility		$63.10	$63.10	$199.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $43.65 / $2,691.53	Professional		$26.30	$43.65	$2,691.53
Security Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $138.04	Professional		$53.70	$104.71	$138.04
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 $26.92 / $45.71 / $114.82	Professional		$26.92	$45.71	$114.82