Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $75.86 / $138.04	Professional		$36.31	$75.86	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $173.78 / $616.60	Professional		$77.62	$173.78	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $131.83 / $151.36	Professional		$109.65	$131.83	$151.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $169.82	Facility		$37.15	$87.10	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $91.20 / $7,585.78	Facility		$37.15	$91.20	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $707.95	Professional		$77.62	$138.04	$707.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $70.79	Professional		$50.12	$54.95	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $162.18	Professional		$60.26	$117.49	$162.18
Quartz Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $707.95 / $707.95	Facility		$107.15	$707.95	$707.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $707.95 / $707.95	Professional		$85.11	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $4,786.30 / $19,498.45	Facility		$1,778.28	$4,786.30	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $239.88	Professional		$60.26	$109.65	$239.88