Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $57.10 / $104.54	Professional		$38.36	$57.10	$104.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $118.68 / $320.74	Professional		$46.18	$118.68	$320.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.56 / $96.09 / $96.09	Professional		$84.56	$96.09	$96.09
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $57.16 / $96.01	Facility		$38.36	$57.16	$96.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $57.16 / $96.01	Facility		$38.36	$57.16	$96.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.39 / $114.65 / $564.65	Professional		$57.39	$114.65	$564.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $173.59	Professional		$50.00	$60.00	$173.59
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $57.31 / $96.01	Facility		$38.36	$57.31	$96.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $114.15 / $162.80	Professional		$63.61	$114.15	$162.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $259.01 / $259.01 / $259.01	Facility		$259.01	$259.01	$259.01
Quartz Facility/Professional Professional Modifier Low / Median / High Price $260.87 / $564.65 / $564.65	Professional		$260.87	$564.65	$564.65
United Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $104.23 / $201.84	Professional		$57.65	$104.23	$201.84