Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $398.11	Professional		$87.10	$87.10	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $69.18 / $138.04	Professional		$1.00	$69.18	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $10,000.00	Professional		$295.12	$295.12	$10,000.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $436.52	Facility		$87.10	$87.10	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $489.78	Facility		$87.10	$87.10	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
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 $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $616.60	Professional		$295.12	$616.60	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36