Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.08 / $186.90 / $517.23	Facility		$30.08	$186.90	$517.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $37.60	Professional		$30.08	$30.08	$37.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $51.52 / $115.77	Professional		$30.89	$51.52	$115.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Facility		$31.96	$31.96	$31.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $89.33 / $101.51	Professional		$31.96	$89.33	$101.51
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $30.08 / $37.60	Facility		$27.16	$30.08	$37.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $31.94 / $37.60	Facility		$27.16	$31.94	$37.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $60.16	Professional		$37.60	$37.60	$60.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $65.00 / $85.00	Professional		$48.61	$65.00	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $27.16 / $31.21 / $37.60	Facility		$27.16	$31.21	$37.60
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1.31 / $60.16 / $88.58	Professional		$1.31	$60.16	$88.58
Quartz Facility/Professional Facility Modifier Low / Median / High Price $138.08 / $138.08 / $138.08	Facility		$138.08	$138.08	$138.08
Quartz Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $130.46 / $251.75	Professional		$31.96	$130.46	$251.75
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $48.88	Professional		$37.60	$37.60	$48.88