Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $81.28	Professional		$56.23	$66.07	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $112.20 / $251.19	Professional		$58.88	$112.20	$251.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $70.79 / $144.54	Facility		$57.54	$70.79	$144.54
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $63.10 / $144.54	Facility		$57.54	$63.10	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $616.60 / $616.60	Professional		$30.90	$616.60	$616.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $70.79	Professional		$50.12	$58.88	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $181.97 / $251.19	Professional		$100.00	$181.97	$251.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $457.09	Facility		$138.04	$138.04	$457.09
Quartz Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $645.65 / $645.65	Professional		$309.03	$645.65	$645.65