Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $200.00 / $200.00	Facility		$79.09	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $116.75 / $861.86	Professional		$73.45	$116.75	$861.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.13 / $1,249.70 / $5,215.57	Professional		$375.13	$1,249.70	$5,215.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.66 / $1,243.60 / $3,458.03	Professional		$31.66	$1,243.60	$3,458.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $85.03 / $929.84	Facility		$47.50	$85.03	$929.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $107.15 / $995.80	Facility		$47.50	$107.15	$995.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,030.79 / $2,300.67 / $4,183.71	Professional		$1,030.79	$2,300.67	$4,183.71
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 $47.50 / $85.10 / $929.84	Facility		$47.50	$85.10	$929.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $69.12 / $124.65 / $1,905.65	Professional		$69.12	$124.65	$1,905.65
Quartz Facility/Professional Facility Modifier Low / Median / High Price $300.63 / $995.80 / $995.80	Facility		$300.63	$995.80	$995.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $406.00 / $3,657.26 / $3,657.26	Professional		$406.00	$3,657.26	$3,657.26
United Facility/Professional Professional Modifier Low / Median / High Price $445.96 / $1,958.22 / $4,494.47	Professional		$445.96	$1,958.22	$4,494.47