Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $20.87 / $200.00	Facility		$20.87	$20.87	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $31.59 / $166.26	Professional		$20.87	$31.59	$166.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.41 / $357.28 / $1,006.14	Professional		$164.41	$357.28	$1,006.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.89 / $646.88 / $646.88	Professional		$239.89	$646.88	$646.88
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $31.62 / $179.67	Facility		$19.50	$31.62	$179.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $37.07 / $271.91	Facility		$20.87	$37.07	$271.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $436.86 / $1,157.43	Professional		$197.47	$436.86	$1,157.43
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 $19.50 / $37.00 / $179.67	Facility		$19.50	$37.00	$179.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $97.38 / $367.58	Professional		$54.00	$97.38	$367.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $196.68 / $296.60 / $296.60	Facility		$196.68	$296.60	$296.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $142.79 / $1,157.43 / $1,157.43	Professional		$142.79	$1,157.43	$1,157.43
United Facility/Professional Facility Modifier Low / Median / High Price $187.89 / $187.89 / $281.23	Facility		$187.89	$187.89	$281.23
United Facility/Professional Professional Modifier Low / Median / High Price $152.90 / $378.42 / $808.05	Professional		$152.90	$378.42	$808.05