Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $52.67 / $52.67	Facility		$52.67	$52.67	$52.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $51.58 / $120.00	Professional		$43.29	$51.58	$120.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.76 / $69.59 / $160.19	Professional		$45.76	$69.59	$160.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $55.80 / $55.80	Facility		$55.80	$55.80	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $123.15 / $139.94	Professional		$54.03	$123.15	$139.94
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $54.73 / $114.20	Facility		$43.60	$54.73	$114.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.00 / $55.31 / $120.00	Facility		$44.00	$55.31	$120.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $83.36 / $293.12	Professional		$47.70	$83.36	$293.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $128.65	Professional		$50.00	$65.00	$128.65
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $43.60 / $54.73 / $114.20	Facility		$43.60	$54.73	$114.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $115.50 / $162.27	Professional		$78.72	$115.50	$162.27
Quartz Facility/Professional Facility Modifier Low / Median / High Price $55.80 / $227.07 / $227.07	Facility		$55.80	$227.07	$227.07
Quartz Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $222.55 / $293.12	Professional		$81.84	$222.55	$293.12
United Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $79.08 / $164.19	Professional		$47.28	$79.08	$164.19