Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $17,782.79	Facility		$45.71	$45.71	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $87.10	Professional		$45.71	$70.79	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $120.23 / $354.81	Professional		$74.13	$120.23	$354.81
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $70.79 / $114.82	Facility		$45.71	$70.79	$114.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $79.43 / $151.36	Facility		$45.71	$79.43	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $141.25 / $549.54	Professional		$79.43	$141.25	$549.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $239.88	Professional		$95.50	$165.96	$239.88
Quartz Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $467.74 / $467.74	Facility		$190.55	$467.74	$467.74
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $537.03 / $537.03	Professional		$309.03	$537.03	$537.03
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 $75.86 / $117.49 / $295.12	Professional		$75.86	$117.49	$295.12