Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $200.00 / $200.00	Facility		$19.57	$200.00	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $28.68 / $31.57	Professional		$19.57	$28.68	$31.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.84 / $78.73 / $244.97	Professional		$32.84	$78.73	$244.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.86 / $55.53 / $55.53	Professional		$48.86	$55.53	$55.53
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $29.10 / $54.06	Facility		$19.57	$29.10	$54.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $30.29 / $142.32	Facility		$19.57	$30.29	$142.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $71.64 / $237.52	Professional		$29.50	$71.64	$237.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $99.53	Professional		$50.00	$58.40	$99.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $29.36 / $54.06	Facility		$19.57	$29.36	$54.06
Quartz Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $74.15 / $103.40	Professional		$40.40	$74.15	$103.40
Quartz Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $142.32 / $142.32	Facility		$73.55	$142.32	$142.32
Quartz Facility/Professional Professional Modifier Low / Median / High Price $132.38 / $137.69 / $237.52	Professional		$132.38	$137.69	$237.52
United Facility/Professional Facility Modifier Low / Median / High Price $385.04 / $385.04 / $385.04	Facility		$385.04	$385.04	$385.04
United Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $67.56 / $120.69	Professional		$29.23	$67.56	$120.69