Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $50.12 / $58.88	Professional		$33.11	$50.12	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $269.15	Professional		$50.12	$81.28	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $75.86	Facility		$33.88	$50.12	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $95.50	Facility		$50.12	$95.50	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $97.72 / $295.12	Professional		$60.26	$97.72	$295.12
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 $102.33 / $102.33 / $154.88	Professional		$102.33	$102.33	$154.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $323.59	Facility		$154.88	$154.88	$323.59
Quartz Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $218.78 / $323.59	Professional		$67.61	$218.78	$323.59
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 $58.88 / $97.72 / $239.88	Professional		$58.88	$97.72	$239.88