Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.99 / $28.84	Professional		$15.85	$23.99	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $134.90	Professional		$25.12	$42.66	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $47.86	Professional		$42.66	$42.66	$47.86
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $24.55 / $38.90	Facility		$16.22	$24.55	$38.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $61.66 / $7,585.78	Facility		$17.38	$61.66	$7,585.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $194.98	Professional		$25.12	$43.65	$194.98
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 $26.30 / $54.95 / $77.62	Professional		$26.30	$54.95	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $158.49 / $158.49	Facility		$61.66	$158.49	$158.49
Quartz Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $173.78	Professional		$117.49	$173.78	$173.78
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 $23.99 / $36.31 / $93.33	Professional		$23.99	$36.31	$93.33