Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.54 / $198.10 / $693.84	Facility		$20.54	$198.10	$693.84
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $247.21 / $350.00 / $377.10	Facility	25	$247.21	$350.00	$377.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.00 / $459.00 / $561.00	Facility		$442.00	$459.00	$561.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $14.12 / $21.78	Facility		$10.78	$14.12	$21.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.70 / $51.69	Facility		$28.84	$33.70	$51.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $19.69 / $62.84	Facility		$9.75	$19.69	$62.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $21.01 / $63.92	Facility		$9.75	$21.01	$63.92
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $9.75 / $19.69 / $62.84	Facility		$9.75	$19.69	$62.84
Quartz Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $32.15 / $69.72	Professional		$21.35	$32.15	$69.72
Quartz Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Facility		$176.00	$176.00	$176.00