Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $199.53	Facility		$20.89	$20.89	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $147.91 / $190.55	Professional		$20.89	$147.91	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $707.95	Professional		$128.82	$199.53	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $575.44	Professional		$208.93	$208.93	$575.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $40.74 / $194.98	Facility		$19.95	$40.74	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $72.44 / $223.87	Facility		$21.38	$72.44	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $1,000.00	Professional		$173.78	$309.03	$1,000.00
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 $54.95 / $97.72 / $316.23	Professional		$54.95	$97.72	$316.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,000.00 / $1,000.00	Facility		$194.98	$1,000.00	$1,000.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $575.44 / $1,000.00	Professional		$144.54	$575.44	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $302.00	Facility		$229.09	$229.09	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $295.12 / $676.08	Professional		$40.74	$295.12	$676.08