Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $35.10 / $35.10	Facility		$35.10	$35.10	$35.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $54.15 / $64.63	Professional		$35.10	$54.15	$64.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.84 / $75.06 / $203.49	Professional		$45.84	$75.06	$203.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $95.26 / $108.25	Professional		$95.26	$95.26	$108.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $52.65 / $74.20	Facility		$35.10	$52.65	$74.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.71 / $53.92 / $71.16	Facility		$35.71	$53.92	$71.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $128.86 / $340.11	Professional		$64.86	$128.86	$340.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $196.09	Professional		$50.00	$60.00	$196.09
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $35.10 / $52.66 / $74.20	Facility		$35.10	$52.66	$74.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $130.13 / $182.82	Professional		$72.64	$130.13	$182.82
Quartz Facility/Professional Facility Modifier Low / Median / High Price $255.86 / $255.86 / $255.86	Facility		$255.86	$255.86	$255.86
Quartz Facility/Professional Professional Modifier Low / Median / High Price $240.08 / $268.45 / $340.11	Professional		$240.08	$268.45	$340.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $112.52 / $201.34	Professional		$64.70	$112.52	$201.34