Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $33.61 / $33.61	Facility		$33.61	$33.61	$33.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $54.21 / $60.16	Professional		$33.61	$54.21	$60.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.49 / $100.39 / $371.86	Professional		$50.49	$100.39	$371.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $67.00 / $67.00	Professional		$67.00	$67.00	$67.00
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.61 / $50.02 / $75.20	Facility		$33.61	$50.02	$75.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.02 / $50.02 / $95.35	Facility		$50.02	$50.02	$95.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $105.79 / $298.25	Professional		$59.24	$105.79	$298.25
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 $33.61 / $50.02 / $75.20	Facility		$33.61	$50.02	$75.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $102.68 / $120.36	Professional		$102.68	$102.68	$120.36
Quartz Facility/Professional Facility Modifier Low / Median / High Price $242.33 / $242.33 / $242.33	Facility		$242.33	$242.33	$242.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $244.44 / $426.56 / $426.56	Professional		$244.44	$426.56	$426.56
United Facility/Professional Professional Modifier Low / Median / High Price $58.01 / $129.84 / $284.74	Professional		$58.01	$129.84	$284.74