Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $16.17 / $16.17	Facility		$16.17	$16.17	$16.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.17 / $24.66 / $28.36	Professional		$16.17	$24.66	$28.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.54 / $42.27 / $168.19	Professional		$24.54	$42.27	$168.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $41.45 / $47.10	Professional		$41.45	$41.45	$47.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $24.97 / $42.10	Facility		$16.17	$24.97	$42.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.36 / $49.41 / $7,700.00	Facility		$17.36	$49.41	$7,700.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $44.17 / $193.04	Professional		$24.90	$44.17	$193.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.78	Professional		$50.00	$58.40	$85.78
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $24.97 / $42.10	Facility		$16.17	$24.97	$42.10
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $56.79 / $79.20	Professional		$30.95	$56.79	$79.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $62.04 / $109.80	Facility		$46.42	$62.04	$109.80
Quartz Facility/Professional Professional Modifier Low / Median / High Price $110.57 / $116.80 / $193.04	Professional		$110.57	$116.80	$193.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,203.00 / $4,810.00 / $19,003.00	Facility		$2,203.00	$4,810.00	$19,003.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $42.26 / $95.19	Professional		$24.90	$42.26	$95.19