Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $19.73 / $200.00	Facility		$19.73	$19.73	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $29.11 / $32.10	Professional		$19.73	$29.11	$32.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $72.27 / $232.86	Professional		$40.22	$72.27	$232.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $55.84 / $120.24	Professional		$55.84	$55.84	$120.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $34.99 / $66.18	Facility		$18.18	$34.99	$66.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.73 / $37.32 / $271.91	Facility		$19.73	$37.32	$271.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $87.90 / $234.66	Professional		$46.02	$87.90	$234.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $70.00	Professional		$50.00	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $34.99 / $52.40	Facility		$18.18	$34.99	$52.40
Quartz Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $85.56 / $103.40	Professional		$50.76	$85.56	$103.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $296.60 / $296.60 / $296.60	Facility		$296.60	$296.60	$296.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $135.54 / $135.54 / $269.37	Professional		$135.54	$135.54	$269.37
United Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $85.82 / $187.57	Professional		$39.75	$85.82	$187.57