Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $37.15	Professional		$28.84	$28.84	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $346.74 / $537.03	Professional		$114.82	$346.74	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $724.44 / $1,174.90	Facility		$630.96	$724.44	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $870.96	Professional		$234.42	$295.12	$870.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $45.71	Facility		$29.51	$29.51	$45.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $100.00	Facility		$29.51	$29.51	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $85.11	Professional		$32.36	$54.95	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96