Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $25.92 / $25.92	Facility		$25.92	$25.92	$25.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $33.56 / $43.09	Professional		$20.54	$33.56	$43.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $52.69 / $154.43	Professional		$37.50	$52.69	$154.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.75 / $141.11 / $216.46	Facility		$120.75	$141.11	$216.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $62.81 / $91.15	Professional		$36.29	$62.81	$91.15
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $24.98 / $35.18 / $62.10	Facility		$24.98	$35.18	$62.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.62 / $36.29 / $84.81	Facility		$25.62	$36.29	$84.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $28.58 / $344.54	Professional		$25.32	$28.58	$344.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $85.00	Professional		$50.00	$60.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $35.82 / $72.48	Facility		$25.92	$35.82	$72.48
Quartz Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $100.76 / $142.80	Professional		$55.84	$100.76	$142.80
Quartz Facility/Professional Facility Modifier Low / Median / High Price $82.95 / $118.29 / $233.65	Facility		$82.95	$118.29	$233.65
Quartz Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $226.05 / $344.54	Professional		$36.29	$226.05	$344.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $27.13 / $48.68	Professional		$18.07	$27.13	$48.68