Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $407.38	Professional		$302.00	$407.38	$407.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $7.08	Professional		$4.57	$4.57	$7.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $39.81 / $64.57	Facility		$33.88	$39.81	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $23.44	Professional		$15.85	$19.50	$23.44
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Facility		$10.47	$10.47	$10.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $85.11	Professional		$32.36	$50.12	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Quartz Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12