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 $39.67 / $79.09 / $450.10	Professional		$39.67	$79.09	$450.10
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 $1,243.60 / $3,458.03 / $3,458.03	Professional		$1,243.60	$3,458.03	$3,458.03
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $40.50 / $79.09 / $435.35	Facility		$40.50	$79.09	$435.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $89.78 / $995.80	Facility		$47.50	$89.78	$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 / $79.09 / $612.14	Facility		$47.50	$79.09	$612.14
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 $896.34 / $2,009.46 / $4,183.71	Professional		$896.34	$2,009.46	$4,183.71