Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $199.53	Professional		$23.99	$33.88	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $109.65 / $245.47	Professional		$40.74	$109.65	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $51.29 / $123.03	Professional		$28.84	$51.29	$123.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.88 / $52.48	Facility		$24.55	$33.88	$52.48
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $70.79 / $95.50	Professional		$61.66	$70.79	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $34.67 / $52.48	Facility		$25.12	$34.67	$52.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $281.84	Professional		$46.77	$93.33	$281.84
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 $43.65 / $83.18 / $151.36	Professional		$43.65	$83.18	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $64.57 / $281.84	Professional		$33.11	$64.57	$281.84
Security Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $125.89	Professional		$58.88	$95.50	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $151.36	Professional		$35.48	$54.95	$151.36