Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $52.48 / $52.48	Facility		$30.20	$52.48	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.20 / $41.69	Professional		$12.02	$30.20	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $17.78 / $18.20	Professional		$5.01	$17.78	$18.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $41.69	Facility		$30.20	$30.20	$41.69
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $223.87	Professional		$144.54	$151.36	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $45.71	Facility		$30.20	$30.20	$45.71
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 $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36