Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $199.53 / $602.56	Facility		$117.49	$199.53	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $165.96	Professional		$117.49	$117.49	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $6.17 / $6.17	Professional		$3.39	$6.17	$6.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $295.12	Facility		$117.49	$117.49	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $213.80	Facility		$100.00	$117.49	$213.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $70.79	Professional		$50.12	$60.26	$70.79
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 $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13