Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $43.47 / $43.47	Facility		$43.47	$43.47	$43.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $67.11 / $263.20	Professional		$43.47	$67.11	$263.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.89 / $128.29 / $477.35	Professional		$58.89	$128.29	$477.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $98.99 / $112.49	Professional		$85.32	$98.99	$112.49
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $91.26 / $163.51	Facility		$43.47	$91.26	$163.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.35 / $3,364.00 / $7,868.00	Facility		$95.35	$3,364.00	$7,868.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $116.04 / $372.58	Professional		$66.95	$116.04	$372.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $203.43	Professional		$50.00	$58.40	$203.43
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $91.26 / $163.51	Facility		$43.47	$91.26	$163.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $101.43 / $186.16 / $259.60	Professional		$101.43	$186.16	$259.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $693.04 / $693.04 / $693.04	Facility		$693.04	$693.04	$693.04
Quartz Facility/Professional Professional Modifier Low / Median / High Price $313.74 / $547.67 / $547.67	Professional		$313.74	$547.67	$547.67
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,316.80 / $19,003.00	Facility		$2,203.00	$4,316.80	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $170.97 / $312.35	Professional		$69.27	$170.97	$312.35