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 $14.41 / $105.03 / $250.21	Professional		$14.41	$105.03	$250.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.59 / $137.59 / $340.30	Professional		$137.59	$137.59	$340.30
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.34 / $73.80 / $112.92	Facility		$10.34	$73.80	$112.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $83.43 / $117.40	Facility		$10.96	$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 $10.34 / $75.09 / $112.92	Facility		$10.34	$75.09	$112.92
Quartz Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $18.60 / $35.20	Professional		$11.15	$18.60	$35.20
Quartz Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $23.70 / $23.70	Facility		$23.70	$23.70	$23.70
Quartz Facility/Professional Professional Modifier Low / Median / High Price $172.09 / $182.44 / $659.14	Professional		$172.09	$182.44	$659.14
United Facility/Professional Professional Modifier Low / Median / High Price $110.40 / $220.93 / $392.85	Professional		$110.40	$220.93	$392.85