Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $446.68	Professional		$131.83	$234.42	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $19.95 / $20.42	Professional		$5.01	$19.95	$20.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $239.88 / $323.59	Facility		$154.88	$239.88	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $239.88 / $446.68	Facility		$154.88	$239.88	$446.68
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