Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $24.13 / $24.13	Facility		$24.13	$24.13	$24.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $24.13 / $26.38	Professional		$15.71	$24.13	$26.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.41 / $48.32 / $163.83	Professional		$27.41	$48.32	$163.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $56.51 / $64.20	Professional		$47.76	$56.51	$64.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $27.66 / $59.47	Facility		$21.43	$27.66	$59.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.12 / $28.23 / $63.75	Facility		$23.12	$28.23	$63.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.83 / $45.45 / $122.93	Professional		$28.83	$45.45	$122.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $114.24	Professional		$50.00	$58.40	$114.24
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $21.43 / $27.66 / $62.14	Facility		$21.43	$27.66	$62.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $60.83 / $85.46	Professional		$29.23	$60.83	$85.46
Quartz Facility/Professional Facility Modifier Low / Median / High Price $52.51 / $85.00 / $119.57	Facility		$52.51	$85.00	$119.57
Quartz Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $159.19 / $160.35	Professional		$113.49	$159.19	$160.35
United Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $45.45 / $104.65	Professional		$27.66	$45.45	$104.65