Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $30.76 / $30.76	Professional		$30.76	$30.76	$30.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.04 / $42.99 / $92.93	Professional		$21.04	$42.99	$92.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.77 / $66.34 / $75.39	Facility		$56.77	$66.34	$75.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $58.51 / $66.48	Professional		$24.26	$58.51	$66.48
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $25.27 / $45.28	Facility		$19.72	$25.27	$45.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $25.50 / $56.56	Facility		$19.72	$25.50	$56.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $30.39 / $89.59	Professional		$19.02	$30.39	$89.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $58.40 / $85.00	Professional		$13.84	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $19.72 / $25.27 / $45.28	Facility		$19.72	$25.27	$45.28
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.53 / $54.43 / $74.64	Professional		$25.53	$54.43	$74.64
Quartz Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $47.67 / $104.46	Facility		$45.70	$47.67	$104.46
Quartz Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $105.75 / $139.32	Professional		$95.54	$105.75	$139.32
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $28.99 / $78.55	Professional		$20.07	$28.99	$78.55