Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $142.38 / $142.38	Facility		$142.38	$142.38	$142.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $142.38 / $151.27	Professional		$142.38	$142.38	$151.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.79 / $218.20 / $460.34	Professional		$111.79	$218.20	$460.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Facility		$151.27	$151.27	$151.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $151.27 / $151.27	Professional		$151.27	$151.27	$151.27
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $147.72 / $199.33	Facility		$142.38	$147.72	$199.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $147.72 / $212.15	Facility		$142.38	$147.72	$212.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $339.76	Professional		$161.79	$161.79	$339.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $70.00 / $85.00	Professional		$50.00	$70.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $142.38 / $147.72 / $199.33	Facility		$142.38	$147.72	$199.33
Quartz Facility/Professional Professional Modifier Low / Median / High Price $119.48 / $214.42 / $315.70	Professional		$119.48	$214.42	$315.70
Quartz Facility/Professional Facility Modifier Low / Median / High Price $151.27 / $169.07 / $667.39	Facility		$151.27	$169.07	$667.39
Quartz Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $188.65 / $676.29	Professional		$151.27	$188.65	$676.29
United Facility/Professional Professional Modifier Low / Median / High Price $161.79 / $161.79 / $210.33	Professional		$161.79	$161.79	$210.33