Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $426.58	Professional		$281.84	$407.38	$426.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $213.80	Professional		$30.20	$30.20	$213.80
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $416.87 / $524.81	Facility		$389.05	$416.87	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $416.87 / $524.81	Facility		$346.74	$416.87	$524.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
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 $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $645.65	Facility		$489.78	$489.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $109.65 / $128.82	Professional		$95.50	$109.65	$128.82