Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $42.78 / $95.40	Facility		$42.78	$42.78	$95.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $53.48	Professional		$42.78	$42.78	$53.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $44.57 / $44.57	Professional		$31.88	$44.57	$44.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Facility		$45.46	$45.46	$45.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Professional		$45.46	$45.46	$45.46
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $42.78 / $42.78	Facility		$42.78	$42.78	$42.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $42.78 / $42.78	Facility		$42.78	$42.78	$42.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $158.38	Professional		$85.00	$85.00	$158.38
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $42.78 / $42.78 / $42.78	Facility		$42.78	$42.78	$42.78
Quartz Facility/Professional Facility Modifier Low / Median / High Price $236.20 / $236.20 / $236.20	Facility		$236.20	$236.20	$236.20
Quartz Facility/Professional Professional Modifier Low / Median / High Price $45.46 / $45.46 / $45.46	Professional		$45.46	$45.46	$45.46