Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $46.09 / $14,482.00	Facility		$46.09	$46.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $70.09 / $79.33	Professional		$46.09	$70.09	$79.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $120.55 / $441.11	Professional		$70.91	$120.55	$441.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $99.22 / $99.22	Professional		$99.22	$99.22	$99.22
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $71.67 / $119.98	Facility		$46.09	$71.67	$119.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $80.39 / $153.02	Facility		$46.09	$80.39	$153.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $141.79 / $550.08	Professional		$79.76	$141.79	$550.08
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 $46.09 / $71.67 / $119.98	Facility		$46.09	$71.67	$119.98
Quartz Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $171.23 / $244.20	Professional		$112.55	$171.23	$244.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $143.61 / $191.93 / $336.07	Facility		$143.61	$191.93	$336.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $550.08 / $550.08	Professional		$315.18	$550.08	$550.08
United Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $133.74 / $329.26	Professional		$79.76	$133.74	$329.26