Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $37.15	Professional		$25.12	$33.88	$37.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $61.66	Facility		$46.77	$46.77	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $85.11	Professional		$54.95	$54.95	$85.11
Quartz Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $100.00	Facility		$64.57	$64.57	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $40.74	Professional		$19.50	$32.36	$40.74