Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $199.53	Facility		$19.05	$19.05	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $38.90 / $50.12	Professional		$19.05	$38.90	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $58.88 / $213.80	Professional		$33.88	$58.88	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $120.23	Professional		$56.23	$56.23	$120.23
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $37.15 / $66.07	Facility		$18.20	$37.15	$66.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $41.69 / $269.15	Facility		$19.95	$41.69	$269.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $269.15	Professional		$46.77	$85.11	$269.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $85.11 / $112.20	Professional		$50.12	$85.11	$112.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $295.12	Facility		$194.98	$295.12	$295.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $269.15	Professional		$120.23	$131.83	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $363.08	Facility		$275.42	$275.42	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $79.43 / $177.83	Professional		$38.02	$79.43	$177.83