Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $33.11 / $75.86	Professional		$16.98	$33.11	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $112.20	Professional		$27.54	$42.66	$112.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $40.74 / $63.10 / $165.96	Professional	50	$40.74	$63.10	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $75.86 / $165.96	Professional		$33.11	$75.86	$165.96
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $102.33	Professional		$34.67	$61.66	$102.33
DeanCare Facility/Professional Professional Modifier 50 Low / Median / High Price $51.29 / $93.33 / $154.88	Professional	50	$51.29	$93.33	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $79.43 / $323.59	Professional		$38.90	$79.43	$323.59
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 $30.20 / $56.23 / $114.82	Professional		$30.20	$56.23	$114.82
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $199.53 / $338.84	Professional		$36.31	$199.53	$338.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $223.87	Professional		$67.61	$117.49	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $52.48 / $128.82	Professional		$23.99	$52.48	$128.82