Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $14,482.00	Facility		$45.89	$127.09	$14,482.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $127.09	Professional		$45.89	$127.09	$127.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,139.00 / $1,183.00 / $1,530.00	Facility		$1,139.00	$1,183.00	$1,530.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.28 / $1,949.73 / $1,949.73	Professional		$353.28	$1,949.73	$1,949.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $165.76	Professional		$165.76	$165.76	$165.76
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $194.45	Facility		$45.89	$127.09	$194.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $1,778.00	Facility		$45.89	$127.09	$1,778.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $45.89 / $127.09 / $190.64	Facility		$45.89	$127.09	$190.64
Quartz Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $165.76 / $165.76	Professional		$165.76	$165.76	$165.76
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