Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.59 / $98.59 / $98.59	Professional		$98.59	$98.59	$98.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.29 / $138.62 / $294.92	Professional		$68.29	$138.62	$294.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.42 / $208.50 / $236.93	Facility		$178.42	$208.50	$236.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.23 / $187.77 / $213.38	Professional		$76.23	$187.77	$213.38
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $81.01 / $144.37	Facility		$64.81	$81.01	$144.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.27 / $81.01 / $226.23	Facility		$64.27	$81.01	$226.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $97.56 / $284.55	Professional		$62.58	$97.56	$284.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $58.40 / $236.86	Professional		$22.87	$58.40	$236.86
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $80.58 / $144.37	Facility		$64.81	$80.58	$144.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.03 / $172.75 / $236.91	Professional		$81.03	$172.75	$236.91
Quartz Facility/Professional Facility Modifier Low / Median / High Price $145.72 / $151.79 / $331.53	Facility		$145.72	$151.79	$331.53
Quartz Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $339.35 / $446.97	Professional		$306.45	$339.35	$446.97
United Facility/Professional Professional Modifier Low / Median / High Price $63.82 / $93.47 / $223.08	Professional		$63.82	$93.47	$223.08