Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $17,823.00	Facility		$29.29	$29.29	$17,823.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $45.14 / $97.50	Professional		$29.29	$45.14	$97.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $90.12 / $225.17	Professional		$55.87	$90.12	$225.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $83.98 / $211.91	Professional		$74.14	$83.98	$211.91
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $61.23 / $295.14	Facility		$25.14	$61.23	$295.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $201.75 / $1,789.00	Facility		$29.29	$201.75	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $29.87 / $322.39	Professional		$13.00	$29.87	$322.39
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 $25.14 / $61.23 / $295.14	Facility		$25.14	$61.23	$295.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $102.06 / $145.78 / $207.90	Professional		$102.06	$145.78	$207.90
Quartz Facility/Professional Facility Modifier Low / Median / High Price $89.02 / $111.28 / $286.08	Facility		$89.02	$111.28	$286.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $202.72 / $211.91 / $322.39	Professional		$202.72	$211.91	$322.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $31.33 / $291.42	Professional		$13.00	$31.33	$291.42