Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,202.26	Professional		$977.24	$977.24	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $40.74	Professional		$20.42	$20.42	$40.74
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,445.44	Facility		$977.24	$977.24	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $2,041.74	Facility		$977.24	$977.24	$2,041.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
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 $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,348.96	Professional		$1,148.15	$1,348.96	$1,348.96