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 / $50.12 / $537.03	Professional		$30.20	$50.12	$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 $30.90 / $35.48 / $57.54	Facility		$30.90	$35.48	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $457.09	Professional		$20.89	$25.70	$457.09
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 $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
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 $275.42 / $630.96 / $4,466.84	Professional		$275.42	$630.96	$4,466.84
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 $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55