Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $14,482.00	Facility		$29.50	$29.50	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $29.50 / $323.98	Professional		$29.50	$29.50	$323.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $2,479.00 / $4,441.52	Facility		$1,139.00	$2,479.00	$4,441.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Facility		$29.50	$29.50	$29.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $1,239.00 / $2,090.40	Facility		$29.50	$1,239.00	$2,090.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $65.00 / $70.00	Professional		$55.00	$65.00	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $29.50	Facility		$29.50	$29.50	$29.50
Quartz Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,034.00 / $1,423.00 / $2,202.90	Facility		$1,034.00	$1,423.00	$2,202.90