Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $79.43	Professional		$40.74	$64.57	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $128.82 / $234.42	Professional		$69.18	$128.82	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Professional		$89.13	$89.13	$147.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $54.95 / $131.83	Facility		$41.69	$54.95	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $61.66 / $302.00	Facility		$37.15	$61.66	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $269.15	Professional		$61.66	$85.11	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $141.25 / $218.78	Professional		$74.13	$141.25	$218.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $426.58	Facility		$154.88	$154.88	$426.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $426.58	Professional		$275.42	$275.42	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $79.43 / $154.88	Professional		$61.66	$79.43	$154.88