Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $117.49	Professional		$61.66	$100.00	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $134.90 / $269.15	Professional		$31.62	$134.90	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $398.11	Professional		$83.18	$138.04	$398.11
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $83.18 / $117.49	Facility		$26.30	$83.18	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $83.18 / $123.03	Facility		$24.55	$83.18	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $208.93 / $660.69	Professional		$117.49	$208.93	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $42.66 / $77.62	Professional		$26.30	$42.66	$77.62
Quartz Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $660.69	Facility		$54.95	$54.95	$660.69
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $660.69 / $660.69	Professional		$173.78	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $162.18 / $371.54	Professional		$66.07	$162.18	$371.54