Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $41.55 / $41.55	Facility		$41.55	$41.55	$41.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $62.53 / $68.06	Professional		$41.55	$62.53	$68.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $119.31 / $231.77	Professional		$67.91	$119.31	$231.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $89.78 / $146.33	Professional		$89.39	$89.78	$146.33
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $48.61 / $95.14	Facility		$36.90	$48.61	$95.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $52.17 / $138.72	Facility		$36.90	$52.17	$138.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $88.01 / $213.71	Professional		$62.00	$88.01	$213.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $48.61 / $95.14	Facility		$36.90	$48.61	$95.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.00 / $152.54 / $216.36	Professional		$74.00	$152.54	$216.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $133.19 / $138.72 / $302.75	Facility		$133.19	$138.72	$302.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $284.13 / $430.27	Professional		$284.13	$284.13	$430.27
United Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $83.23 / $173.74	Professional		$61.38	$83.23	$173.74