Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $50.20 / $50.20	Facility		$50.20	$50.20	$50.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $77.47 / $95.42	Professional		$50.20	$77.47	$95.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $140.10 / $295.70	Professional		$77.23	$140.10	$295.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Facility		$94.70	$94.70	$94.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.01 / $396.01 / $396.01	Professional		$396.01	$396.01	$396.01
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $78.90 / $130.69	Facility		$50.20	$78.90	$130.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $85.22 / $6,235.00	Facility		$50.20	$85.22	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.77 / $164.48 / $515.54	Professional		$87.77	$164.48	$515.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $70.00	Professional		$50.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $50.20 / $78.90 / $131.07	Facility		$50.20	$78.90	$131.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $129.82 / $195.91 / $279.39	Professional		$129.82	$195.91	$279.39
Quartz Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $384.51 / $384.51	Facility		$94.70	$384.51	$384.51
Quartz Facility/Professional Professional Modifier Low / Median / High Price $360.77 / $515.54 / $515.54	Professional		$360.77	$515.54	$515.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,429.00 / $7,978.00 / $20,314.00	Facility		$2,429.00	$7,978.00	$20,314.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $163.74 / $316.08	Professional		$86.98	$163.74	$316.08