Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $33.40 / $14,482.00	Facility		$33.40	$33.40	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $49.58 / $53.86	Professional		$33.40	$49.58	$53.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $81.03 / $296.52	Professional		$50.24	$81.03	$296.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Professional		$71.95	$71.95	$71.95
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $51.55 / $86.95	Facility		$33.40	$51.55	$86.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $54.49 / $116.51	Facility		$33.40	$54.49	$116.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $95.98 / $398.72	Professional		$55.27	$95.98	$398.72
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 $33.40 / $51.55 / $86.95	Facility		$33.40	$51.55	$86.95
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.63 / $124.18 / $177.10	Professional		$81.63	$124.18	$177.10
Quartz Facility/Professional Facility Modifier Low / Median / High Price $104.07 / $139.08 / $243.73	Facility		$104.07	$139.08	$243.73
Quartz Facility/Professional Professional Modifier Low / Median / High Price $228.38 / $398.72 / $398.72	Professional		$228.38	$398.72	$398.72
United Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $94.43 / $207.25	Professional		$54.32	$94.43	$207.25