Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $36.00	Facility		$36.00	$36.00	$36.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $36.00 / $45.00	Professional		$36.00	$36.00	$45.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $38.02 / $122.31	Professional		$37.50	$38.02	$122.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $95.23 / $150.22	Facility		$38.25	$95.23	$150.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $223.64 / $254.14	Professional		$35.92	$223.64	$254.14
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $44.58 / $106.31	Facility		$36.00	$44.58	$106.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $44.58 / $106.31	Facility		$36.00	$44.58	$106.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $60.00	Professional		$37.50	$37.50	$60.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $65.00 / $509.83	Professional		$50.00	$65.00	$509.83
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $38.25 / $106.31	Facility		$36.00	$38.25	$106.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $94.66 / $132.00	Professional		$43.16	$94.66	$132.00
Quartz Facility/Professional Facility Modifier Low / Median / High Price $168.75 / $168.75 / $168.75	Facility		$168.75	$168.75	$168.75
Quartz Facility/Professional Professional Modifier Low / Median / High Price $38.25 / $47.70 / $171.00	Professional		$38.25	$47.70	$171.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.50 / $37.50 / $51.35	Professional		$37.50	$37.50	$51.35