Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $14.89 / $14.89	Facility		$14.89	$14.89	$14.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.89 / $23.15 / $28.44	Professional		$14.89	$23.15	$28.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.46 / $45.10 / $101.77	Professional		$19.46	$45.10	$101.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $28.71 / $28.71	Facility		$28.71	$28.71	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.48 / $118.48 / $118.48	Professional		$118.48	$118.48	$118.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $23.56 / $38.78	Facility		$14.89	$23.56	$38.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $25.45 / $6,235.00	Facility		$14.89	$25.45	$6,235.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $49.02 / $153.85	Professional		$26.31	$49.02	$153.85
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 $14.89 / $23.56 / $39.19	Facility		$14.89	$23.56	$39.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $58.62 / $83.60	Professional		$38.84	$58.62	$83.60
Quartz Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $115.03 / $115.03	Facility		$28.71	$115.03	$115.03
Quartz Facility/Professional Professional Modifier Low / Median / High Price $109.13 / $153.85 / $153.85	Professional		$109.13	$153.85	$153.85
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 $25.98 / $45.12 / $94.17	Professional		$25.98	$45.12	$94.17