Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $200.00 / $200.00	Facility		$6.88	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $10.22 / $19.36	Professional		$6.88	$10.22	$19.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $59.61 / $233.66	Professional		$16.57	$59.61	$233.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $18.54 / $18.54	Professional		$16.30	$18.54	$18.54
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $10.22 / $21.41	Facility		$6.88	$10.22	$21.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $10.62 / $62.63	Facility		$6.88	$10.62	$62.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $23.91 / $153.85	Professional		$9.84	$23.91	$153.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $50.00 / $70.00	Professional		$33.21	$50.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $10.22 / $30.68	Facility		$6.88	$10.22	$30.68
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.32 / $24.45 / $35.20	Professional		$13.32	$24.45	$35.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $26.13 / $70.00 / $70.00	Facility		$26.13	$70.00	$70.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $92.00 / $153.85	Professional		$44.15	$92.00	$153.85
United Facility/Professional Facility Modifier Low / Median / High Price $28.67 / $28.67 / $28.67	Facility		$28.67	$28.67	$28.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.74 / $22.78 / $43.30	Professional		$9.74	$22.78	$43.30