Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $95.50 / $95.50	Facility		$54.95	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $120.23	Professional		$38.90	$51.29	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $89.13 / $190.55	Professional		$46.77	$89.13	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $138.04 / $223.87	Facility		$120.23	$138.04	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $158.49	Professional		$72.44	$141.25	$158.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $2,454.71 / $4,786.30	Facility		$56.23	$2,454.71	$4,786.30
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $141.25	Professional		$81.28	$114.82	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $1,202.26 / $1,778.28	Facility		$53.70	$1,202.26	$1,778.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $89.13 / $371.54	Professional		$50.12	$89.13	$371.54
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 $57.54 / $112.20 / $154.88	Professional		$57.54	$112.20	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,288.25 / $1,288.25	Facility		$120.23	$1,288.25	$1,288.25
Quartz Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $245.47 / $371.54	Professional		$66.07	$245.47	$371.54
Security Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Security Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $257.04	Professional		$93.33	$144.54	$257.04
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 $46.77 / $77.62 / $199.53	Professional		$46.77	$77.62	$199.53