Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.41 / $275.39 / $275.39	Facility		$23.41	$275.39	$275.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $496.00	Professional		$275.39	$275.39	$496.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $324.00	Professional		$275.39	$275.39	$324.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $643.32 / $919.58	Facility		$302.39	$643.32	$919.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.08 / $0.09 / $337.50	Professional		$0.08	$0.09	$337.50
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $324.00 / $324.00	Facility		$275.39	$324.00	$324.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $324.00 / $471.50	Facility		$275.39	$324.00	$471.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $279.49 / $395.74	Professional		$247.34	$279.49	$395.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $85.00	Professional		$50.00	$50.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $275.39 / $324.00 / $324.00	Facility		$275.39	$324.00	$324.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $1,215.00 / $1,215.00	Facility		$1,215.00	$1,215.00	$1,215.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $302.39 / $302.39 / $302.39	Professional		$302.39	$302.39	$302.39
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
United Facility/Professional Professional Modifier Low / Median / High Price $247.34 / $279.49 / $405.64	Professional		$247.34	$279.49	$405.64