Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $3,695.86 / $4,878.00	Facility		$55.46	$3,695.86	$4,878.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $57.53 / $7,430.40	Professional		$55.46	$57.53	$7,430.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.52 / $109.84 / $113.93	Facility		$94.52	$109.84	$113.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $57.78	Professional		$57.78	$57.78	$57.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $189.44 / $298.83	Facility		$58.93	$189.44	$298.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $69.33 / $86.72	Professional		$58.93	$69.33	$86.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $55.46 / $66.67	Facility		$55.46	$55.46	$66.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.09 / $53.34 / $66.67	Facility		$51.09	$53.34	$66.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $92.45	Professional		$57.78	$57.78	$92.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $282.33	Professional		$50.00	$65.00	$282.33
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $57.54 / $66.67	Facility		$55.46	$57.54	$66.67
Quartz Facility/Professional Facility Modifier Low / Median / High Price $343.50 / $343.50 / $343.50	Facility		$343.50	$343.50	$343.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $70.67 / $253.35	Professional		$58.93	$70.67	$253.35
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $75.11	Professional		$57.78	$57.78	$75.11