Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $129.62 / $129.62	Facility		$129.62	$129.62	$129.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $129.62 / $231.04	Professional		$129.62	$129.62	$231.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $47.03 / $95.74	Professional		$23.09	$47.03	$95.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $72.66 / $137.72	Facility		$62.18	$72.66	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $46.96 / $137.72	Professional		$26.65	$46.96	$137.72
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $129.62 / $162.02	Facility		$22.52	$129.62	$162.02
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $129.62 / $162.02	Facility		$22.52	$129.62	$162.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $323.23	Professional		$153.91	$153.91	$323.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $509.58	Professional		$55.00	$85.00	$509.58
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $129.62 / $162.02	Facility		$22.52	$129.62	$162.02
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Professional		$18.44	$18.44	$18.44
Quartz Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $52.45 / $77.22	Professional		$25.16	$52.45	$77.22
Quartz Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Quartz Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $144.60 / $324.04	Professional		$137.72	$144.60	$324.04
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $210.75	Professional		$153.91	$153.91	$210.75