Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $39.81	Professional		$22.91	$36.31	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $72.44 / $316.23	Professional		$38.90	$72.44	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $51.29	Professional		$38.90	$38.90	$51.29
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $37.15 / $91.20	Facility		$33.88	$37.15	$91.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $38.90 / $95.50	Facility		$32.36	$38.90	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $186.21	Professional		$37.15	$52.48	$186.21
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 $51.29 / $91.20 / $151.36	Professional		$51.29	$91.20	$151.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $245.47	Facility		$104.71	$104.71	$245.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $245.47	Professional		$190.55	$190.55	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $48.98 / $123.03	Professional		$36.31	$48.98	$123.03