Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $2,884.03	Facility		$47.86	$47.86	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $2,344.23	Professional		$30.20	$47.86	$2,344.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $3,162.28	Professional		$1,698.24	$2,089.30	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,884.03	Professional		$1,258.93	$1,698.24	$2,884.03
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 / $5,888.44	Professional		$30.90	$69.18	$5,888.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $2,398.83	Professional		$54.95	$70.79	$2,398.83
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $2,630.27	Professional		$1,584.89	$1,698.24	$2,630.27
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,754.23 / $5,888.44	Professional		$1,380.38	$2,754.23	$5,888.44
Security Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $3,630.78	Professional		$1,819.70	$3,630.78	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $93.33	Professional		$30.20	$60.26	$93.33