Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $77.62	Professional		$40.74	$47.86	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $104.71 / $331.13	Professional		$41.69	$104.71	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $72.44 / $102.33	Facility		$48.98	$72.44	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $95.50 / $95.50	Facility		$72.44	$95.50	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $281.84	Professional		$51.29	$81.28	$281.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $70.79	Professional		$50.12	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $125.89	Professional		$85.11	$85.11	$125.89
Quartz Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $407.38	Facility		$218.78	$218.78	$407.38
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $316.23 / $407.38	Professional		$54.95	$316.23	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $131.83	Facility		$100.00	$100.00	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $194.98	Professional		$48.98	$95.50	$194.98