Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,041.74 / $3,801.89	Facility		$741.31	$2,041.74	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $954.99	Professional		$512.86	$512.86	$954.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Professional		$0.02	$0.02	$0.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $3,630.78	Facility		$512.86	$912.01	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,122.02 / $2,041.74	Facility		$512.86	$1,122.02	$2,041.74
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 $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,754.23	Facility		$2,089.30	$2,089.30	$2,754.23