Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $17,782.79	Facility		$50.12	$50.12	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $91.20	Professional		$50.12	$77.62	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $263.03	Professional		$52.48	$114.82	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $134.90	Professional		$107.15	$107.15	$134.90
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $83.18 / $8,912.51	Facility		$51.29	$83.18	$8,912.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $77.62 / $95.50	Facility		$51.29	$77.62	$95.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $512.86	Professional		$87.10	$147.91	$512.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $70.79	Professional		$50.12	$64.57	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $263.03	Professional		$102.33	$177.83	$263.03
Quartz Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $512.86	Facility		$186.21	$186.21	$512.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $512.86	Professional		$331.13	$512.86	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $295.12	Professional		$83.18	$109.65	$295.12