Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $109.65 / $109.65	Facility		$64.57	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $81.28 / $95.50	Professional		$64.57	$81.28	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Facility		$64.57	$64.57	$85.11
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $204.17 / $295.12	Professional		$190.55	$204.17	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Facility		$64.57	$64.57	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $489.78	Facility		$131.83	$131.83	$489.78
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54