Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $36.79 / $36.79	Facility		$36.79	$36.79	$36.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $54.32 / $86.20	Professional		$36.79	$54.32	$86.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $271.70 / $785.42	Professional		$91.21	$271.70	$785.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.63 / $129.63 / $147.31	Professional		$129.63	$129.63	$147.31
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $54.32 / $96.88	Facility		$36.79	$54.32	$96.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $88.30 / $7,565.00	Facility		$37.04	$88.30	$7,565.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $179.18 / $700.38	Professional		$81.23	$179.18	$700.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $263.57	Professional		$50.00	$70.00	$263.57
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.79 / $55.19 / $113.97	Facility		$36.79	$55.19	$113.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.52 / $134.38 / $160.38	Professional		$74.52	$134.38	$160.38
Quartz Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $253.80 / $253.80	Facility		$139.85	$253.80	$253.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $223.76 / $365.30 / $700.38	Professional		$223.76	$365.30	$700.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,785.00 / $4,316.80 / $19,003.00	Facility		$1,785.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.64 / $157.08 / $320.19	Professional		$70.64	$157.08	$320.19