Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $64.57 / $263.03	Professional		$42.66	$64.57	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $407.38	Professional		$58.88	$109.65	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Professional		$100.00	$100.00	$114.82
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $97.72 / $169.82	Facility		$43.65	$97.72	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $3,388.44 / $9,549.93	Facility		$95.50	$3,388.44	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $371.54	Professional		$69.18	$107.15	$371.54
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 $131.83 / $194.98 / $275.42	Professional		$131.83	$194.98	$275.42
Quartz Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $758.58	Facility		$213.80	$213.80	$758.58
Quartz Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $602.56 / $602.56	Professional		$85.11	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,025.60 / $19,498.45	Facility		$1,995.26	$6,025.60	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $263.03	Professional		$67.61	$109.65	$263.03