Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $21.50 / $200.00	Facility		$21.50	$21.50	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.50 / $31.76 / $34.96	Professional		$21.50	$31.76	$34.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.41 / $222.40 / $836.64	Professional		$150.41	$222.40	$836.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $208.61 / $579.39	Professional		$208.61	$208.61	$579.39
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $38.11 / $195.73	Facility		$20.07	$38.11	$195.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.50 / $40.67 / $225.13	Facility		$21.50	$40.67	$225.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $324.41 / $877.31	Professional		$168.54	$324.41	$877.31
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 $20.07 / $38.11 / $161.71	Facility		$20.07	$38.11	$161.71
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.62 / $100.30 / $319.66	Professional		$55.62	$100.30	$319.66
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 $147.15 / $579.39 / $1,006.55	Professional		$147.15	$579.39	$1,006.55
United Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $308.17 / $701.33	Professional		$115.07	$308.17	$701.33