Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $2,398.83 / $2,398.83	Professional		$165.96	$2,398.83	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $154.88	Professional		$117.49	$154.88	$154.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,630.78	Facility		$2,398.83	$2,398.83	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,630.78	Facility		$2,398.83	$2,398.83	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $549.54	Professional		$50.12	$64.57	$549.54
Quartz Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00