Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $61.66 / $288.40	Professional		$47.86	$61.66	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $213.80 / $489.78	Professional		$81.28	$213.80	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $257.04	Professional		$57.54	$95.50	$257.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.07 / $95.50	Facility		$43.65	$66.07	$95.50
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $177.83	Professional		$123.03	$144.54	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.07 / $95.50	Facility		$43.65	$66.07	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $177.83 / $524.81	Professional		$72.44	$177.83	$524.81
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 $81.28 / $154.88 / $281.84	Professional		$81.28	$154.88	$281.84
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $158.49 / $524.81	Professional		$57.54	$158.49	$524.81
Security Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $234.42	Professional		$117.49	$194.98	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $104.71 / $295.12	Professional		$58.88	$104.71	$295.12