Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $30.14 / $30.14	Facility		$30.14	$30.14	$30.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.14 / $55.74 / $103.13	Professional		$30.14	$55.74	$103.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $164.38 / $364.38	Professional		$66.29	$164.38	$364.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $61.08 / $81.17	Facility		$52.27	$61.08	$81.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.75 / $27.19 / $127.75	Professional		$21.75	$27.19	$127.75
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $54.00 / $113.96	Facility		$30.14	$54.00	$113.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $57.60 / $117.12	Facility		$30.14	$57.60	$117.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $201.30 / $442.64	Professional		$106.58	$201.30	$442.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $30.14 / $54.00 / $117.12	Facility		$30.14	$54.00	$117.12
Quartz Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $136.22 / $195.77	Professional		$74.25	$136.22	$195.77
Quartz Facility/Professional Facility Modifier Low / Median / High Price $63.99 / $114.55 / $260.39	Facility		$63.99	$114.55	$260.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $222.62 / $442.64 / $442.64	Professional		$222.62	$442.64	$442.64
United Facility/Professional Professional Modifier Low / Median / High Price $94.63 / $187.33 / $373.50	Professional		$94.63	$187.33	$373.50