Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $660.69	Facility		$47.86	$47.86	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $537.03	Professional		$30.20	$47.86	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $199.53 / $323.59	Professional		$67.61	$199.53	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $389.05 / $616.60	Facility		$331.13	$389.05	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $478.63	Professional		$229.09	$257.04	$478.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $74.13 / $120.23	Facility		$60.26	$74.13	$120.23
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $57.54 / $95.50	Professional		$41.69	$57.54	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
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 $275.42 / $630.96 / $3,801.89	Professional		$275.42	$630.96	$3,801.89
Security Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $741.31	Professional		$346.74	$371.54	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86