Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $200.00 / $200.00	Facility		$25.39	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.39 / $36.97 / $40.94	Professional		$25.39	$36.97	$40.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.11 / $110.60 / $270.39	Professional		$42.11	$110.60	$270.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $74.06 / $74.06	Professional		$65.18	$74.06	$74.06
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $37.76 / $53.26	Facility		$25.39	$37.76	$53.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $39.03 / $84.28	Facility		$25.39	$39.03	$84.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $95.54 / $280.19	Professional		$39.34	$95.54	$280.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $132.63	Professional		$50.00	$58.40	$132.63
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $38.09 / $53.26	Facility		$25.39	$38.09	$53.26
Quartz Facility/Professional Professional Modifier Low / Median / High Price $52.44 / $96.23 / $134.19	Professional		$52.44	$96.23	$134.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $96.43 / $184.67 / $184.67	Facility		$96.43	$184.67	$184.67
Quartz Facility/Professional Professional Modifier Low / Median / High Price $173.57 / $183.65 / $280.19	Professional		$173.57	$183.65	$280.19
United Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $84.26 / $160.97	Professional		$38.97	$84.26	$160.97