Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Facility		$123.00	$123.00	$123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $130.69	Professional		$123.00	$123.00	$130.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $120.59 / $242.77	Professional		$57.44	$120.59	$242.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $130.69 / $130.69	Professional		$90.84	$130.69	$130.69
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $123.00 / $172.20	Facility		$101.38	$123.00	$172.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $123.00 / $183.27	Facility		$75.00	$123.00	$183.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $269.07	Professional		$128.13	$128.13	$269.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $70.00	Professional		$50.00	$58.40	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $123.00 / $172.20	Facility		$101.38	$123.00	$172.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $138.01 / $206.68	Professional		$78.22	$138.01	$206.68
Quartz Facility/Professional Facility Modifier Low / Median / High Price $60.56 / $75.00 / $267.19	Facility		$60.56	$75.00	$267.19
Quartz Facility/Professional Professional Modifier Low / Median / High Price $75.53 / $130.69 / $270.75	Professional		$75.53	$130.69	$270.75
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $128.13 / $153.76	Professional		$128.13	$128.13	$153.76