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 $44.67 / $61.66 / $70.79	Professional		$44.67	$61.66	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $194.98	Professional		$67.61	$97.72	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $147.91	Professional		$91.20	$91.20	$147.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $85.11	Facility		$41.69	$63.10	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $91.20	Facility		$42.66	$63.10	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $114.82 / $436.52	Professional		$72.44	$114.82	$436.52
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 $91.20 / $158.49 / $234.42	Professional		$91.20	$158.49	$234.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $436.52	Facility		$162.18	$162.18	$436.52
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $436.52 / $436.52	Professional		$295.12	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $446.68	Facility		$338.84	$338.84	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $213.80	Professional		$70.79	$104.71	$213.80