Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.16 / $121.18 / $278.39	Facility		$49.16	$121.18	$278.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.01 / $87.35 / $106.08	Professional		$74.01	$87.35	$106.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $92.53 / $92.53	Professional		$8.42	$92.53	$92.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.17 / $349.61 / $464.66	Facility		$299.17	$349.61	$464.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $155.63	Professional		$87.12	$87.12	$155.63
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $87.35 / $106.08	Facility		$78.45	$87.35	$106.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.73 / $87.35 / $122.29	Facility		$74.73	$87.35	$122.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $58.40 / $85.00	Professional		$50.00	$58.40	$85.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $81.16 / $87.35 / $109.19	Facility		$81.16	$87.35	$109.19
Quartz Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Facility		$65.00	$65.00	$100.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $87.12 / $87.12 / $87.12	Professional		$87.12	$87.12	$87.12