Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $2,951.21 / $2,951.21	Facility		$114.82	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $123.03	Professional		$114.82	$117.49	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $123.03 / $138.04	Professional		$44.67	$123.03	$138.04
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $177.83	Facility		$114.82	$117.49	$177.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $123.03 / $208.93	Facility		$114.82	$123.03	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $70.79	Professional		$54.95	$64.57	$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 $123.03 / $123.03 / $208.93	Facility		$123.03	$123.03	$208.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65