Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $199.53	Facility		$25.12	$25.12	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $48.98	Professional		$25.12	$38.02	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $218.78	Professional		$38.90	$60.26	$218.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $74.13	Facility		$25.70	$38.90	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.90 / $91.20	Facility		$25.70	$38.90	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $75.86 / $263.03	Professional		$43.65	$75.86	$263.03
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 $56.23 / $100.00 / $141.25	Professional		$56.23	$100.00	$141.25
Quartz Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $263.03 / $263.03	Facility		$100.00	$263.03	$263.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $263.03	Professional		$177.83	$263.03	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $141.25	Professional		$42.66	$63.10	$141.25