Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.99 / $30.90	Professional		$15.14	$23.99	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $47.86 / $162.18	Professional		$28.84	$47.86	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $66.07	Professional		$57.54	$57.54	$66.07
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $25.12 / $58.88	Facility		$22.91	$25.12	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $28.18 / $85.11	Facility		$22.91	$28.18	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $147.91	Professional		$28.18	$42.66	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $58.88 / $70.79	Professional		$33.11	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $61.66 / $97.72	Professional		$33.11	$61.66	$97.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $162.18	Facility		$69.18	$69.18	$162.18
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $162.18	Professional		$72.44	$158.49	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $100.00	Professional		$26.92	$36.31	$100.00