Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $446.68	Facility		$47.86	$47.86	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $363.08	Professional		$30.20	$47.86	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $489.78	Professional		$257.04	$316.23	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $346.74	Professional		$151.36	$204.17	$346.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $69.18 / $107.15	Facility		$57.54	$69.18	$107.15
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 $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $69.18 / $891.25	Professional		$30.90	$69.18	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $281.84	Professional		$54.95	$64.57	$281.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $257.04 / $407.38	Professional		$239.88	$257.04	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $416.87 / $891.25	Professional		$165.96	$416.87	$891.25
Security Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Security Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $562.34	Professional		$281.84	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $93.33	Professional		$30.20	$60.26	$93.33