Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $125.89	Professional		$57.54	$83.18	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $138.04	Professional		$44.67	$89.13	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $263.03 / $10,000.00	Professional		$89.13	$263.03	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $85.11 / $147.91	Facility		$77.62	$85.11	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $151.36	Facility		$85.11	$85.11	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $446.68	Professional		$263.03	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82