Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $41.98 / $41.98	Facility		$41.98	$41.98	$41.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $61.60 / $70.48	Professional		$41.98	$61.60	$70.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $106.83 / $204.98	Professional		$68.06	$106.83	$204.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.23 / $146.94 / $146.94	Professional		$90.23	$146.94	$146.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $62.83 / $91.32	Facility		$41.98	$62.83	$91.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.69 / $62.47 / $85.24	Facility		$42.69	$62.47	$85.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.64 / $135.46 / $432.44	Professional		$77.64	$135.46	$432.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $41.98 / $62.97 / $91.32	Facility		$41.98	$62.97	$91.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $91.98 / $163.22 / $231.51	Professional		$91.98	$163.22	$231.51
Quartz Facility/Professional Facility Modifier Low / Median / High Price $323.95 / $323.95 / $323.95	Facility		$323.95	$323.95	$323.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $303.57 / $432.44 / $432.44	Professional		$303.57	$432.44	$432.44
United Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $119.18 / $224.35	Professional		$72.45	$119.18	$224.35