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 $57.54 / $57.54 / $100.00	Professional		$57.54	$57.54	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $43.65	Professional		$30.20	$30.20	$43.65
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $109.65	Facility		$58.88	$58.88	$109.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $117.49	Facility		$58.88	$58.88	$117.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $70.79	Professional		$32.36	$50.12	$70.79
Quartz Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,348.96	Facility		$1,023.29	$1,023.29	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.42 / $81.28	Professional		$16.22	$20.42	$81.28