Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.90 / $91.90 / $204.94	Facility		$91.90	$91.90	$204.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.90 / $108.28 / $127.00	Professional		$91.90	$108.28	$127.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $296.27 / $595.41	Professional		$158.88	$296.27	$595.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $485.38 / $765.69	Facility		$128.69	$485.38	$765.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $284.41 / $323.19	Professional		$128.69	$284.41	$323.19
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $96.66 / $155.00 / $348.56	Facility		$96.66	$155.00	$348.56
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $126.93 / $126.93	Professional		$126.93	$126.93	$126.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.77 / $155.00 / $348.56	Facility		$116.77	$155.00	$348.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $544.54	Professional		$259.31	$259.31	$544.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $85.00 / $554.91	Professional		$55.00	$85.00	$554.91
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $96.66 / $155.00 / $348.56	Facility		$96.66	$155.00	$348.56
Prevea360 Facility/Professional Professional Modifier Low / Median / High Price $126.93 / $126.93 / $126.93	Professional		$126.93	$126.93	$126.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $292.08 / $369.16 / $514.79	Professional		$292.08	$369.16	$514.79
Quartz Facility/Professional Facility Modifier Low / Median / High Price $828.37 / $828.37 / $828.37	Facility		$828.37	$828.37	$828.37
Quartz Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $801.45 / $1,015.51	Professional		$128.69	$801.45	$1,015.51
United Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $259.31 / $363.03	Professional		$259.31	$259.31	$363.03