Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
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 $16.98 / $16.98 / $23.99	Facility		$16.98	$16.98	$23.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $77.62	Facility		$16.98	$16.98	$77.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
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 $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $181.97	Facility		$138.04	$138.04	$181.97