Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $602.56	Professional		$398.11	$426.58	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $3.39 / $3.98	Professional		$3.39	$3.39	$3.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $602.56 / $2,818.38	Facility		$426.58	$602.56	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $912.01	Facility		$426.58	$426.58	$912.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,230.27	Facility		$933.25	$933.25	$1,230.27