Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $64.18 / $64.18	Facility		$64.18	$64.18	$64.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.93 / $98.90 / $122.74	Professional		$60.93	$98.90	$122.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $105.03 / $253.38	Professional		$21.30	$105.03	$253.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.59 / $137.59 / $400.42	Professional		$137.59	$137.59	$400.42
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $73.80 / $112.92	Facility		$25.30	$73.80	$112.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.40 / $83.43 / $117.40	Facility		$26.40	$83.43	$117.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $133.05 / $290.56 / $659.14	Professional		$133.05	$290.56	$659.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $70.00	Professional		$50.00	$60.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.30 / $75.09 / $112.92	Facility		$25.30	$75.09	$112.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $43.20 / $81.76	Professional		$25.90	$43.20	$81.76
Quartz Facility/Professional Facility Modifier Low / Median / High Price $204.48 / $204.48 / $204.48	Facility		$204.48	$204.48	$204.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $346.23 / $346.23 / $659.14	Professional		$346.23	$346.23	$659.14
United Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $214.26 / $392.85	Professional		$105.22	$214.26	$392.85