Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $20.42 / $27.54	Professional		$5.25	$20.42	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $37.15	Facility		$34.67	$34.67	$37.15
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $57.54 / $77.62	Professional		$52.48	$57.54	$77.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $48.98	Facility		$34.67	$34.67	$48.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $70.79	Professional		$32.36	$54.95	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $2,238.72	Professional		$83.18	$83.18	$2,238.72