Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.16 / $124.16 / $124.16	Facility		$124.16	$124.16	$124.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $94.01 / $146.94	Professional		$14.22	$94.01	$146.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $102.46 / $353.05	Professional		$30.48	$102.46	$353.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.42 / $112.67 / $172.85	Facility		$96.42	$112.67	$172.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $40.53 / $50.96	Professional		$25.56	$40.53	$50.96
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $121.94 / $155.19	Facility		$11.94	$121.94	$155.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $117.99 / $155.19	Facility		$13.28	$117.99	$155.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $231.64 / $806.50	Professional		$23.82	$231.64	$806.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $123.42	Professional		$50.00	$60.00	$123.42
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $121.94 / $155.19	Facility		$11.94	$121.94	$155.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $198.00 / $319.23	Professional		$118.70	$198.00	$319.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $297.14 / $297.14 / $297.14	Facility		$297.14	$297.14	$297.14
Quartz Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $502.38 / $806.50	Professional		$27.00	$502.38	$806.50
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $173.73 / $428.25	Professional		$23.82	$173.73	$428.25