Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $50.97 / $50.97	Professional		$50.97	$50.97	$50.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.45 / $70.25 / $151.36	Professional		$34.45	$70.25	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.82 / $108.46 / $123.25	Facility		$92.82	$108.46	$123.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $96.78 / $109.98	Professional		$39.65	$96.78	$109.98
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $41.76 / $73.87	Facility		$32.97	$41.76	$73.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $41.76 / $83.35	Facility		$32.97	$41.76	$83.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $48.97 / $157.50	Professional		$31.59	$48.97	$157.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.63 / $58.40 / $121.53	Professional		$17.63	$58.40	$121.53
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $41.23 / $73.87	Facility		$32.97	$41.23	$73.87
Quartz Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $88.35 / $121.16	Professional		$41.44	$88.35	$121.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $74.56 / $77.70 / $182.97	Facility		$74.56	$77.70	$182.97
Quartz Facility/Professional Professional Modifier Low / Median / High Price $157.63 / $174.90 / $231.03	Professional		$157.63	$174.90	$231.03
United Facility/Professional Professional Modifier Low / Median / High Price $31.59 / $46.93 / $122.43	Professional		$31.59	$46.93	$122.43