Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $45.37 / $14,482.00	Facility		$45.37	$45.37	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.37 / $50.17 / $86.82	Professional		$45.37	$50.17	$86.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $167.50 / $428.65	Professional		$74.16	$167.50	$428.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.40 / $322.41 / $322.41	Professional		$101.40	$322.41	$322.41
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $68.70 / $113.43	Facility		$45.37	$68.70	$113.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $85.84 / $1,789.00	Facility		$46.78	$85.84	$1,789.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $149.44 / $552.16	Professional		$86.99	$149.44	$552.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.37 / $68.70 / $113.43	Facility		$45.37	$68.70	$113.43
Quartz Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $175.09 / $249.70	Professional		$136.19	$175.09	$249.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $343.65 / $343.65 / $343.65	Facility		$343.65	$343.65	$343.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $310.55 / $322.41 / $552.16	Professional		$310.55	$322.41	$552.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,008.00 / $1,370.00 / $2,202.90	Facility		$1,008.00	$1,370.00	$2,202.90
United Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $146.16 / $346.28	Professional		$84.43	$146.16	$346.28