Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $87.57	Facility		$87.57	$87.57	$87.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Professional		$87.57	$87.57	$400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $69.20 / $158.81	Professional		$37.11	$69.20	$158.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.00 / $512.00 / $9,999.99	Professional		$512.00	$512.00	$9,999.99
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Facility		$87.57	$87.57	$400.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Facility		$87.57	$87.57	$400.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $614.00 / $614.00 / $614.00	Professional		$614.00	$614.00	$614.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $85.00	Professional		$50.00	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Facility		$87.57	$87.57	$400.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $491.00 / $491.00 / $491.00	Facility		$491.00	$491.00	$491.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $614.00 / $614.00 / $614.00	Professional		$614.00	$614.00	$614.00